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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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
Format application/pdf
Source International Journal of Medical and Pharmaceutical Case Reports; 2019 - Volume 12 [Issue 1]; 1-7
Language eng
Rights Copyright (c) 2019 © 2019 Adesina et al.; This is an Open Access article distributed under the terms of the Creative Commons Attribution License (, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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