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The yolky thecoma

Published:September 30, 2016DOI:https://doi.org/10.1016/j.ajog.2016.09.100
      A 45-year-old, para 1 woman with abdominal pain was referred to our outpatient clinic. On physical examination, a fixed soft mass was palpated between left adnexa and pelvic sidewall. Transvaginal ultrasound revealed a left ovarian mass measuring 4.3 × 3.0 cm, with blood flow. Cancer antigen-125 was 70.5 U/mL. During laparoscopic left salpingo-oophorectomy, the tumor was found to be homogeneous and gray-yellowish with a yolky appearance (Figure 1). On gross cut, it was firm with lobulation, without hemorrhage or necrosis. The pathological biopsy showed a thecoma of the ovary composed of interlacing spindle thecoma cells with long fascicles in a storiform and whorl arrangement (Figure 2) and the fallopian tube demonstrated no abnormality.
      Figure thumbnail gr1
      Figure 1Yolky thecoma
      Laparoscopic view showed yolky appearance of ovarian thecoma.
      Chen. Yolky thecoma. Am J Obstet Gynecol 2017.
      Figure thumbnail gr2
      Figure 2Microscopic view of thecoma
      Microscopic view of thecoma represented with long fascicles in storiform and whorl arrangement (hematoxylin-eosin stain, ×40).
      Chen. Yolky thecoma. Am J Obstet Gynecol 2017.
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