Objective
The objective of the study was to identify the incidence, diagnosis, and therapeutic
and histological particularities of ovarian fibromas and fibrothecomas.
Study Design
This was a retrospective study of 24 patients who underwent surgical treatment for
ovarian fibromas and fibrothecomas between January 1994 and December 2006. Clinical,
ultasonographic, tumor marker, therapeutic, and histologic data were analyzed.
Results
The mean age of patients was 49 years. Thirteen patients were menopausal. Ultrasonographic
findings were ovarian echogenic tumor in 6 cases, hypoechogenic tumor in 12 cases,
mixed tumor in 6 cases, and anechogenic tumor in 1 case. Cancer antigen-125 level
measured in 21 cases was abnormal in 3 cases. Twenty-one patients underwent laparotomy.
Three patients underwent laparoscopy; however, 1 was converted to laparotomy because
of a suspected tumor. Histological findings were 16 fibromas and 9 fibrothecomas.
Conclusion
Ovarian fibromas and fibrothecomas are uncommon, accounting for 3.3% of ovarian tumors.
These lesions often occur in perimenopausal and menopausal patients. Clinical, ultasonographic,
and tumor marker data remain the best preoperative approach currently available for
ovarian tumors. However, the diagnosis remains histological.
Key words
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Article info
Publication history
Published online: May 27, 2008
Accepted:
March 21,
2008
Received in revised form:
November 9,
2007
Received:
October 3,
2007
Footnotes
Cite this article as: Chechia A, Attia L, Ben Temime R, et al. Incidence, clinical analysis, and management of ovarian fibromas and fibrothecomas. Am J Obstet Gynecol 2008;199:473.e1-473.e4.
Identification
Copyright
© 2008 Mosby, Inc. Published by Elsevier Inc. All rights reserved.
