Cystadenofibroma of Ovary- A Rare Cause of Postmenopausal Bleeding
Published: October 1, 2019 | DOI: https://doi.org/10.7860/JCDR/2019/42399.13191
Tanuja Muthyala, Sujata Siwatch, Shalini Gainder, Minakshi Rohilla, Vanita Jain, Parikshaa Gupta
1. Ex-Senior Resident, Department of Obstetrics and Gynaecology, PGIMER, Chandigarh, India.
2. Assistant Professor, Department of Obstetrics and Gynaecology, PGIMER, Chandigarh, India.
3. Additional Professor, Department of Obstetrics and Gynaecology, PGIMER, Chandigarh, India.
4. Professor, Department of Obstetrics and Gynaecology, PGIMER, Chandigarh, India.
5. Professor, Department of Obstetrics and Gynaecology, PGIMER, Chandigarh, India.
6 Assistant Professor, Department of Cytology and Gynaecological Pathology, PGIMER, Chandigarh, India.
Correspondence
Dr. Sujata Siwatch,
Department of Obstetrics and Gynaecology, PGIMER, Sector-12, Chandigarh, India.
E-mail: siwatch1@yahoo.com
Postmenopausal bleeding may be a presenting complaint for genital tract malignancy. Benign uterine causes predominate while endometrial cancer contributes 10% of symptomatic cases. Extra-uterine causes are rare and include carcinoma cervix or hormone secreting tumours of the ovary. We report a case of 50-year-old postmenopausal lady that presented with postmenopausal bleeding. On evaluation, she was found to have a complex adnexal mass, normal ovarian tumour markers and endometrial histology was normal on biopsy. She underwent exploratory laparotomy and total abdominal hysterectomy with bilateral salpingo-oophorectomy. The postoperative diagnosis was cystadenofibroma of ovary. We reported this case because of its rare incidence and varied symptomatology and presentation on imaging. One should consider diagnosis of a cystadenofibroma of ovary when a postmenopausal lady presents with a triad of an adnexal mass, postmenopausal bleeding with normal endometrial evaluation.
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