IMPORTANT: We currently have a number of bugs related to image cropping and are actively trying to resolve them. In the meantime, we have disabled cropping. Apologies for any inconvenience. Stay informed: radiopaedia.org/chat

Bilateral ovarian fibrothecomas - adolescent

Case contributed by Ammar Haouimi
Diagnosis almost certain

Presentation

Pelvic pain. The ultrasound (not shown) revealed pelvic masses.

Patient Data

Age: 13 years
Gender: Female

There are multiple and bilateral well-defined ovarian masses ranging from 15 to 35 mm on the right and 20 to 50 mm on the left. They elicit an isosignal to the myometrium on T1, low signal on T2 with areas of high signal mainly on the right (may represent areas of edema or cystic degeneration) with restricted diffusion. The postcontrast sequences show moderate and relatively homogeneous enhancement. as the normal myometrium.

Mild to moderate ascites is noted.

The chest radiograph (not shown) was normal.

Case Discussion

The patient underwent surgical resection of the ovarian masses with a histopathological exam which confirmed the diagnosis of bilateral ovarian fibrothecomas.

Most of the ovarian fibrothecomas occur in adult women, with ~66% in postmenopausal women. They represent <2% of pediatric ovarian tumors.

How to use cases

You can use Radiopaedia cases in a variety of ways to help you learn and teach.

Creating your own cases is easy.

Updating… Please wait.

 Unable to process the form. Check for errors and try again.

 Thank you for updating your details.