Large ovarian fibroma

Case contributed by Michael P Hartung
Diagnosis certain

Presentation

Pelvic mass.

Patient Data

Age: 50 years
Gender: Female
ct

Large well-circumscribed homogeneous central pelvic mass starting below the iliac bifurcation, indenting the bladder dome and anterior body wall. 

Case Discussion

Ultrasound-guided biopsy was safely performed through the body wall with initial pathology suspecting spindle cell neoplasm (possible desmoid tumor). In fact, at the time of surgery, this was attached to the left ovary, which is quite difficult to determine by CT and the final pathologic diagnosis is a benign ovarian fibroma. 

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