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Giant fibrothecoma--an interesting case.

J L Garrido1, I Beytia, M De Frías

  • 1Chemsa Foundation, Panama City, Panama.

Clinical and Experimental Obstetrics & Gynecology
|April 24, 2007
PubMed
Summary
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A rare 30-pound giant ovarian fibrothecoma caused significant abdominal enlargement. Surgical removal was successful, alongside a hysterectomy and bilateral salpingo-oophorectomy, with good patient recovery.

Area of Science:

  • Gynecologic Oncology
  • Pathology

Background:

  • A 45-year-old woman presented with a history of intra-abdominal pathology and an enlarged abdomen.
  • Initial studies identified a right ovarian cyst, leading to a surgical referral that was initially declined.

Observation:

  • The patient experienced significant abdominal distension over two years.
  • Ultrasound revealed fibromatosis, prompting a new surgical referral.
  • Laparotomy exposed a giant ovarian cyst adherent to multiple abdominal structures.

Findings:

  • Histopathology confirmed a 30-pound giant fibrothecoma of the ovary.
  • Associated findings included endometrial hyperplasia and leiomyomas.
  • The tumor's low incidence, particularly functioning variants, is noted in international literature.

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Implications:

  • This case highlights the potential for massive growth of ovarian fibrothecomas.
  • Successful surgical management, including hysterectomy and bilateral salpingo-oophorectomy, is demonstrated.
  • Emphasizes the importance of timely surgical intervention for large ovarian masses.