Imaging methods of ovarian fibroma in a 55-year-old patient

Abstract

Objective. We present a patient aged 55 years, with ovarian fibroma measuring 134x72x112 mm and the associated fallopian tube measuring 55x9mm (previously analyzed ex tempore method). A fibroma is a benign ovarian tumor consisting of fibroblasts, collagen fibers and arising from the ovarian stroma. It accounts for 1% to 5% of all ovarian tumors and occurs in the population aged 20 to 80, most often after the age of 50. Methods. An ultrasonographic examination showed that the uterus swims in about 100 ml of anechoic free fluid. Anteuterine, a larger soft-tissue tumefaction, without a clear connection with the uterus, with clear borders and seemingly mobile, measures 106x80 mm. Following that, MSCT and MR of the abdomen and small pelvis were performed. After adequate preparation, the patient underwent a surgery, and the obtained material was sent for histopathological diagnosis. Results. The analyzed sample consisted of tumor proliferation of predominantly spindle cells organized by vertebrates, in some places vortex to zones of somewhat loose structure, focal with collagen and straight fibers. This histological finding is the most appropriate for fibroids, clearer preserved histological material. Conclusion. Surgery is the therapy of choice in the treatment of ovarian tumors. Despite the application and availability of all modern diagnostic methods, in this case report, the origin of the tumor was discovered by surgery. Consequently, we can conclude that accurate diagnosis of ovarian tumors is extremely difficult. In accordance with that, it is necessary to improve the existing techniques and discover new diagnostic procedures, on the basis of which the doctor would more easily decide, in the interest of the patient, on the adequate treatment of ovarian tumors.