Fibrothecoma a rare ovarian tumor: A case report

Farah Flissate, Ibtissam Bensrhir,Hounaida Mahfoud,Amina Lakhdar,Aziz Baidada,Samia Sassi

International Journal of Surgery Case Reports(2024)

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Abstract
Introduction and importance Fibroma, thecoma, and fibrothecoma collectively denote a range of non-cancerous sex cord-stromal tumors distinguished by the presence of fibroblastic stromal cells and/or cells resembling luteinized theca cells. Case presentation In this report, we present a case study of a 52-year-old patient in whom this uncommon tumor was identified via MRI, highlighting the distinctive diagnostic and treatment considerations associated with it. Clinical discussion Ovarian fibrothecoma tumors are infrequent, constituting less than 4 % of all ovarian tumors. Although they may manifest at any age, they are more commonly observed in elderly and post-menopausal individuals. Diagnosis hinges on clinical and paraclinical data, yet definitive confirmation is predominantly achieved through anatomopathological examination.For younger patients, conservative surgery is usually favored, whereas peri- or post-menopausal individuals may undergo radical treatment. Conclusion Ovarian Fibrothecoma, though rare, are typically benign tumors frequently found in older patients. Diagnosis primarily relies on histological examination. Fortunately, the prognosis for these tumors is generally favorable.
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Key words
Fibrothecoma,Ovarian mass,Magnetic resonance imaging,Surgery
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