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Int J Surg Case Rep. 2011;2(3):29-31. doi: 10.1016/j.ijscr.2010.07.005. Epub 2010 Dec 13.

Bilateral ovarian fibrothecoma. An uncommon cause of a large pelvic mass.

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  • 12nd Department of Surgery, Army General Hospital, 19 Taxiarhon Str, 19014 Kapandriti, Athens, Greece.


Ovarian fibrothecomas are uncommon tumors of gonadal stromal cell origin. They account for 3-4% of all ovarian tumors and in 90% of the cases are unilateral. Here, we describe a rare case of a bilateral ovarian fibrothecoma in a postmenopausal woman who presented with a large pelvic mass and metrorrhagia. Diagnostic evaluation and surgical management are discussed along with a brief review of the literature. Although rare, ovarian fibrothecoma should be considered in patients presenting with a large pelvic mass and postmenopausal bleeding. Radical surgery is the preferred management strategy for postmenopausal women with bilateral ovarian fibrothecomas and is associated with a good prognosis.


Bilateral; Ovarian fibrothecoma; Pelvic mass

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