Retroperitoneal Extraovarian Fibrothecoma Mimicking a Malignant Epithelial Ovarian Carcinoma
Joint Authors
Gien, Lilian T.
Hamilton, Paul
Nofech-Mozes, Sharon
Roberts, Patrick
Coburn, Natalie
Source
Case Reports in Obstetrics and Gynecology
Issue
Vol. 2012, Issue 2012 (31 Dec. 2012), pp.1-5, 5 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2012-08-15
Country of Publication
Egypt
No. of Pages
5
Main Subjects
Abstract EN
Background.
Fibrothecomas are benign sex cord-stromal tumors which rarely originate outside of the ovary.
To date, two such cases have been reported in the literature.
We report the third case of an extraovarian fibrothecoma and the first presenting similarly to a metastatic epithelial ovarian cancer.
Clinical History.
We describe a 62-year-old woman with history, physical examination, and imaging suggestive of metastatic ovarian cancer.
CA-125 was elevated at 1291 U/mL.
Paracenteses were negative for malignant cells and core biopsy showed spindle cell proliferation.
A primary debulking surgery for a presumed ovarian cancer was planned.
Method and Results.
At surgery, 6 liters of ascites were drained.
The uterus, ovaries, peritoneum, and omentum were normal.
An 18×11×7 cm retroperitoneal mass was found between the left ureter and the sigmoid mesocolon, wrapped with sigmoid colon.
Fallopian tubes and ovaries were normal.
The mass was resected en bloc with the sigmoid colon, uterus, ovaries, and omentum.
Microscopically, there was spindle cell proliferation typical of fibrothecoma.
No ovarian tissue was identified in association with the tumor.
Conclusion.
This third case of extraovarian fibrothecoma highlights the importance of obtaining histologic evidence of malignancy prior to initiating neoadjuvant chemotherapy for a presumed ovarian cancer.
American Psychological Association (APA)
Roberts, Patrick& Nofech-Mozes, Sharon& Coburn, Natalie& Hamilton, Paul& Gien, Lilian T.. 2012. Retroperitoneal Extraovarian Fibrothecoma Mimicking a Malignant Epithelial Ovarian Carcinoma. Case Reports in Obstetrics and Gynecology،Vol. 2012, no. 2012, pp.1-5.
https://search.emarefa.net/detail/BIM-460040
Modern Language Association (MLA)
Roberts, Patrick…[et al.]. Retroperitoneal Extraovarian Fibrothecoma Mimicking a Malignant Epithelial Ovarian Carcinoma. Case Reports in Obstetrics and Gynecology No. 2012 (2012), pp.1-5.
https://search.emarefa.net/detail/BIM-460040
American Medical Association (AMA)
Roberts, Patrick& Nofech-Mozes, Sharon& Coburn, Natalie& Hamilton, Paul& Gien, Lilian T.. Retroperitoneal Extraovarian Fibrothecoma Mimicking a Malignant Epithelial Ovarian Carcinoma. Case Reports in Obstetrics and Gynecology. 2012. Vol. 2012, no. 2012, pp.1-5.
https://search.emarefa.net/detail/BIM-460040
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-460040