Ovarian fibroma

Ovarian fibroma is a type of benign tumor that originates from the ovary. It is the most common solid tumor of the ovary, accounting for approximately 4% of all ovarian neoplasms. Ovarian fibromas are composed of fibrous or connective tissue, and can occur at any age, but are most commonly diagnosed in women between the ages of 40 and 60.

Clinical Presentation

Patients with ovarian fibroma often present with abdominal pain and a palpable mass. In some cases, the tumor may be discovered incidentally during a routine gynecological examination. Other symptoms may include menstrual irregularities, bloating, and urinary frequency due to pressure on the bladder.

Diagnosis

The diagnosis of ovarian fibroma is typically made based on imaging studies, such as ultrasound, computed tomography (CT) scan, or magnetic resonance imaging (MRI). These tests can reveal a solid mass in the ovary. However, a definitive diagnosis can only be made through histopathological examination of the tumor tissue, usually obtained during surgery.

Treatment

The primary treatment for ovarian fibroma is surgical removal of the tumor. The type of surgery depends on the size and location of the tumor, as well as the patient's age and desire to preserve fertility. In some cases, only the tumor is removed (cystectomy), while in others, the entire ovary may need to be removed (oophorectomy). If the tumor is large or if there is suspicion of cancer, a hysterectomy may be performed.

Prognosis

The prognosis for ovarian fibroma is generally good, as these tumors are benign and do not spread to other parts of the body. However, recurrence can occur, especially if the tumor was not completely removed during surgery.

See Also

• Ovarian tumor
• Benign tumor
• Oophorectomy
• Hysterectomy

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  Ovarian fibroma under intermediate magnification

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  Fibroma of the ovary

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  Ultrasound image of ovarian fibroma

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  Ovarian tumors by incidence and cancer risk