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Giant Ovarian Fibrothecoma in a Postmenopausal Woman Mimicking Malignancy with Bilateral Hydronephrosis: A Case Report

Year: 2025

Type: article

Abstract: Sex cord-stromal tumors (SCSTs) are rare ovarian neoplasms accounting for less than 5% of all ovarian tumors.This case report presents a 59-year-old postmenopausal woman with a giant ovarian fibro-thecoma presenting with abdominal pain, distention, pelvic heaviness, and mild hematuria.Radiological investigations revealed a large adnexal mass causing bilateral hydronephrosis.Surgical management included total hysterectomy with bilateral salpingeo-oophorectomy, and final pathology confirmed a benign fibro-thecoma.This case highlights diagnostic and therapeutic considerations in managing large ovarian SCSTs in postmenopausal women.

Source: Anatolian journal of obstetrics and gynecology research.

DOI: 10.4274/anajog.galenos.2025.53825

Authors: Amel Elayadi M A Salem, Nahla Rashad Hemdan Abdelrahman, Marwa Alboughdadi, Wael Hosni

Institution: Dubai Health Authority

Language: English

Topic: Ovarian cancer diagnosis and treatment

Subfield: Reproductive Medicine

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: bronze

OpenAlex ID: W4414353367