Calcified Bilateral Ovarian Fibroma in a 15 Year Old Female: Case Report and Literature Review

International Journal of Medical and Pharmaceutical Case Reports

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Field Value
 
Title Calcified Bilateral Ovarian Fibroma in a 15 Year Old Female: Case Report and Literature Review
 
Creator Adesina, Alaba Moses
Imaralu, John Osaigbovoh
Yusuf, Adebola Olukayode
Ajani, Mustapha Akanji
 
Description Aim: To highlight the potential for misdiagnosis of ovarian fibromas and need for careful evaluation especially when fertility altering decisions need to be taken in the young adolescent.
Presentation of Case: The authors here review literature and present the case of a 15 year old pre-menarchal patient with bilateral, solid hard ovarian tumors with marked ascites, who had bilateral salpingo-oophorectomy, in whom the tumors turned out to be bilateral calcific ovarian fibromas.
Discussion: Ovarian neoplasia are often misdiagnosed because of their non-specific symptoms and similarities to other pathologies on radiological imaging. The management of adolescents with ovarian tumors poses peculiar challenges as there is need for a balance between the risk of malignancy and the need to preserve fertility. About 1/3 of pelvic masses in pre-pubertal girls are malignant. This fact in addition to the non-specific features of malignancy in this patient such as weight loss, ascites, necessitated further evaluation which included laparotomy.
Conclusion: Ovarian fibromas occur in adolescents and can pose a diagnostic dilemma; a high index of suspicion is required to plan fertility-sparing and cancer-limiting management.
 
Publisher SCIENCEDOMAIN international
 
Date 2019-06-12
 
Type info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
 
Format application/pdf
 
Identifier http://journalijmpcr.com/index.php/IJMPCR/article/view/30099
10.9734/ijmpcr/2019/v12i130099
 
Source International Journal of Medical and Pharmaceutical Case Reports; 2019 - Volume 12 [Issue 1]; 1-7
2394-109X
 
Language eng
 
Relation http://journalijmpcr.com/index.php/IJMPCR/article/view/30099/56472
http://journalijmpcr.com/index.php/IJMPCR/article/view/30099/56473
 
Rights Copyright (c) 2019 © 2019 Adesina et al.; This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
 

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