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Indian Journal of Obstetrics and Gynecology Research


Ovarian Serous Cystadenofibroma – A Rare Case Report


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Author Details: Leelavathi, Priyankur Roy, Sindhu Sree G., Shubhashri Srirama

Volume : 2

Issue : 4

Online ISSN : 2394-2754

Print ISSN : 2394-2746

Article First Page : 297

Article End Page : 299


Abstract

Ovarian cystadenofibroma is a relatively rare benign ovarian tumour, generally affecting women in their fifth decade, containing epithelial as well as fibrous stromal components. As a group, they represent 1.7% of all benign ovarian tumours.
A 56-year-old post-menopausal woman presented with complaints of pain abdomen since one week. Her abdominal examination revealed a mass of 18-20 weeks size, firm in consistency. Per-vaginal examination revealed uterus not felt separately, 20 weeks size mass, firm in consistancy. Ultrasound examination revealed a bilateral complex adnexal cyst, with few septations. MRI scanning showed features of bilateral benign ovarian tumour most likely serous cystadenoma. A provisional diagnosis of bilateral complex ovarian cyst was made and she was planned for laparotomy. She underwent Total Abdominal Hysterectomy and Bilateral Salpingo-ophrectomy. Intra-operatively she was found to have atrophic uterus with bilateral ovarian complex cyst. The specimen was sent for histopathological examination and it revealed right side haemorrhagic cyst and left side cyst showing features of serous cystadenofibroma.
The appearance of cystadenofibroma on imaging is often complex; cystic to solid mass may be visualized and it often resembles a malignant tumour. Owing to the fibrous component of this tumour, MRI scanning shows low-signal intensity on T2W images and this may help a radiologist to make a pre-operative diagnosis of this tumour and thus perhaps avoid aggressive surgical management.

Keywords
: Laparotomy, Magnetic resonance imaging, Ovarian cystadenofibroma.