Ovarian fibroma

Case contributed by Ahmed Abdrabou
Diagnosis certain

Presentation

Cyclic lower abdominal pain of several months duration.

Patient Data

Age: 40 years
Gender: Female
mri

A large well-circumscribed, irregular shape left adnexal mass that returns iso signal on T1, low signal on T2 and STIR with avid enhancement on post-contrast scan. There are multiple cystic changes within the lesion.

Case Discussion

Ovarian fibroma is a benign connective tissue tumor arising from the ovarian stroma. Its differential diagnosis includes pedunculated subserous fibroid. MRI findings were suggestive of ovarian fibroma and this was followed by excisional biopsy and histopathology which confirmed the diagnosis.

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