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Histopathological Diagnosis of Ovarian Fibroma in a 50-Year-Old Woman
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SE Salehi Dehno1   , K Rouzbehi2 , Z Asadi Kalameh3 , Z Salehpour4 |
1- Department of General Surgery, Yasuj University of Medical Sciences, Yasuj, Iran,
2- Student Research Committee, Yasuj University of Medical Sciences, Yasuj, Iran,
3- Clinical Development Research Center, Imam Sajjad Hospital, Yasuj University of Medical Sciences, Yasuj, Iran , zasadik66@gmail.com
4- Clinical Research Center, Beheshti Hospital, Yasuj University of Medical Sciences, Yasuj, Iran |
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Abstract: (508 Views) |
Background & aim: Ovarian fibroma is the most common solid ovarian tumor that is rarely associated with Myegs syndrome. Patients usually present with abdominal discomfort, and there have been no reports of associated groin pain. X-ray imaging and laboratory data are used for initial diagnosis. The common treatment is removal of the tumor via laparotomy or laparoscopy. Therefore, the aim of the present study was to determine and histopathologically diagnose ovarian fibroma in a 50-year-old woman.
Case report: A 50-year-old woman was diagnosed with ovarian fibroma with right groin pain, which was presented upon referral to the gynecological department of Imam Sajjad Hospital in Yasuj city in 2020, originating from the right ovary and connected to the retroperitoneum. The patient had a history of cesarean section and hysterectomy. Ultrasonography displayed an internal lesion on the right side of the pelvic cavity, and CT scan indicated a simple cyst for the left ovary. The patient underwent laparotomy under general anesthesia, a 7-cm mass was observed and removed by oophorectomy. The postoperative histopathological diagnosis confirmed ovarian fibroma. This case emphasizes the importance of intraoperative monitoring by a gynecological oncologist for better diagnosis and management of patients with ovarian fibroma.
Conclusion: Some ovarian masses, such as fibroids, can cause pain in the groin area and sometimes have a firm structure. In many cases, initial measures such as ultrasound or preoperative tests cannot determine the exact nature of the mass. For this reason, the authors recommend that more advanced imaging studies be performed in such cases. Furthermore, surgery in these situations is better to be performed with the direct participation of a gynecological oncologist so that the necessary decisions are made correctly during surgery.
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| Keywords: Fibroids, Laparotomy, Abdominal pain, Oophorectomy. |
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Full-Text [PDF 527 kb]
(41 Downloads)
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Type of Study: case report |
Subject:
Gynaecology
Received: 2024/12/4 | Accepted: 2025/04/8 | Published: 2025/05/6
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