Authors :
Mohamed Abdellahi EL MOCTAR; Fatiha OUAKKA; Karam Mommed SAOUD; Nisrine MAMOUNI; Sanae ERRARHAY; Chahrazad BOUCHIKHI; Abdelaziz BANANI
Volume/Issue :
Volume 8 - 2023, Issue 1 - January
Google Scholar :
https://bit.ly/3TmGbDi
Scribd :
https://bit.ly/3F5VTgo
DOI :
https://doi.org/10.5281/zenodo.7710461
Abstract :
Ovarian cystadenofibroma is a rare benign
epithelial tumor whose radiological and intraoperative
appearance may simulate a malignant tumor, hence the
interest of our clinical case. The patient was 77 years old,
multiparous, with no notable pathological history, and
had presented with chronic pelvic pain. Physical
examination revealed right latero-uterine tenderness with
bulging in the right cul de sac. Pelvic ultrasound revealed
a double tissue and fluid (mostly cystic) image in the right
retro and latero uterine area, with a solid component that
did not show up on color Doppler, measuring 10.5 × 5.7
cm. In addition, the uterus was of normal size with a thin
endometrium and no effusion. The thoracoabdominopelvic CT scan showed a solid cystic mass probably
ovarian right measuring 96 72+68 mm, otherwise no
suspicious abnormality. The tumor marker CA125 was
negative. A total hysterectomy with bilateral
adnexectomy and multiple biopsies were performed. The
postoperative course was simple. Pathological
examination revealed an ovarian serous
cystadenofibroma. Serous cystadenofibroma of the ovary
can have a misleading appearance on imaging. It is
therefore a differential diagnosis of malignant tumors of
the ovary.
Ovarian cystadenofibroma is a rare benign
epithelial tumor whose radiological and intraoperative
appearance may simulate a malignant tumor, hence the
interest of our clinical case. The patient was 77 years old,
multiparous, with no notable pathological history, and
had presented with chronic pelvic pain. Physical
examination revealed right latero-uterine tenderness with
bulging in the right cul de sac. Pelvic ultrasound revealed
a double tissue and fluid (mostly cystic) image in the right
retro and latero uterine area, with a solid component that
did not show up on color Doppler, measuring 10.5 × 5.7
cm. In addition, the uterus was of normal size with a thin
endometrium and no effusion. The thoracoabdominopelvic CT scan showed a solid cystic mass probably
ovarian right measuring 96 72+68 mm, otherwise no
suspicious abnormality. The tumor marker CA125 was
negative. A total hysterectomy with bilateral
adnexectomy and multiple biopsies were performed. The
postoperative course was simple. Pathological
examination revealed an ovarian serous
cystadenofibroma. Serous cystadenofibroma of the ovary
can have a misleading appearance on imaging. It is
therefore a differential diagnosis of malignant tumors of
the ovary.
