Unilateral ovarian fibrothecoma with menorrhagia
- Author:
Danendran Krishnan
;
Komal Kumar
;
Anitha Ann Thomas
- Publication Type:Case Reports
- Keywords:
menorrhagia;
LNG-IUS;
pelvic mass;
fibrothecoma
- MeSH:
Menorrhagia;
Fibroma;
Thecoma;
Ovarian Neoplasms
- From:The Malaysian Journal of Pathology
2014;36(1):55-58
- CountryMalaysia
- Language:English
-
Abstract:
Ovarian fibrothecoma is a relatively new term that is used to describe an ovarian sex cord stromal
tumour that has mixed features of both fibroma and thecoma. The prevalence of ovarian fibrothecoma
tumours is very rare and is reported to be about 1.2% of all ovarian tumours. We report a case of
a 32-year-old woman who presented with acute menorrhagia with no previous medical, surgical
or gynecological history. She was amenorrhic for four years after the insertion of a levonorgestrelreleasing
intrauterine system (LNG-IUS) for contraception. The efficacy and location of LNG-IUS
was reflected due to the sudden onset of menorrhagia. On pelvic examination and ultrasound the
LNG-IUS could not be visualized and a uterine fibroid was noted. A diagnostic laparoscopy was
done to identify the LNG-IUS, which revealed an incidental large ovarian mass on the left ovary.
CA-125 level was elevated to 45 kU/L (Normal range <35 kU/L). Total abdominal hysterectomy, left
salpingo-oopherectomy and cystectomy were performed. On histopathology, the mass was proven
to be an ovarian fibrothecoma. No signs of malignancy were noted on peritoneal fluid cytology.
The LNG-IUS was found inside the uterus. Our case is reported on the basis of the rare incidence
of ovarian fibrothecoma and the possible effect it may have on the efficacy of LNG-IUS causing
menorrhagia.
- Full text:P020141218356519050070.pdf
