Abstract
OVARIAN FIBROMA: AN UNCOMMON CASE REPORT
Jamal EL Azzaoui*, Soukaina Khalta, Aziz Slaoui, Abdelali EL Kallali, Manar Rhmemit, Najia Zeraidi, Amina Lakhdar, Aicha Kharbach and Aziz Baydada
ABSTRACT
Background: Ovarian fibroma is a rare and solid benign tumor that accounts for 0.5 to 1% of all benign ovarian tumors. It raises the problem of differential diagnosis with uterine fibroid because of their clinical and ultrasonographic resemblance and with malignant ovarian tumors due to ascites and elevated serum level of CA-125. Case presentation: We hereby report an uncommon case of a 40-year-old patient with symptomatic chronic pelvic pain who has been diagnosed with ovarian dermoid cyst. It was decided to perform an exploratory laparotomy with cystectomy. The histopathological examination confirmed the diagnosis of ovarian fibroma. Conclusions: Fibrothecal tumors of the ovary are uncommon. They mainly affect elderly women and are difficult to diagnose preoperatively because of their clinical and paraclinical resemblance to a malignant tumor, the definitive diagnosis is purely histological. Treatment consists of laparotomy or laparoscopic surgical resection.
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