Cellular Fibroma of Ovary Coexisting with Proliferative Endometrium Post Menopause: A Rare Presentation
Published: July 1, 2017 | DOI: https://doi.org/10.7860/JCDR/2017/27199.10247
Vandana Mohapatra, Susama Patra, Mamita Nayak, Radhamohan Gharei, Nibedita Sahoo
1. Senior Resident, Department of Obstetrics and Gynaecology, All India Institute of Medical Sciences (AIIMS), Bhubaneswar, Odisha, India.
2. Additional Professor and Head, Department of Pathology and Laboratory Medicine, All India Institute of Medical Sciences (AIIMS), Bhubaneswar, Odisha, India.
3. Senior Resident, Department of Pathology and Laboratory Medicine, All India Institute of Medical Sciences (AIIMS), Bhubaneswar, Odisha, India.
4. Senior Resident, Department of Pathology and Laboratory Medicine, All India Institute of Medical Sciences (AIIMS), Bhubaneswar, Odisha, India.
5. Senior Resident, Department of Pathology and Laboratory Medicine, All India Institute of Medical Sciences (AIIMS), Bhubaneswar, Odisha, India.
Correspondence
Dr. Vandana Mohapatra,
Senior Resident, Department of Obstetrics and Gynaecology, All India Institute of Medical Sciences (AIIMS),
Sijua, Bhubaneswar-751019, Odisha, India.
E-mail: mohapatravandana@yahoo.in
Ovarian fibromas are benign sex cord stromal tumours occurring in peri-menopausal and post-menopausal women. These tumours are composed of spindle fibroblastic cells producing collagen. They are almost always endocrine-inert and are rarely associated with hormone production. We report herein a case of a 60-year-old Indian woman presenting as postmenopausal bleeding. Imaging studies and endometrial biopsy revealed a right ovarian solid tumour coexisting with thickened proliferative endometrium, other causes of hyperoestrogenism being excluded in the woman. She underwent total abdominal hysterectomy with bilateral salpingo-oophorectomy. Histopathology showed cellular fibroma of right ovary and proliferative endometrium with foci of hyperplasia without atypia.
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