A Case Report: Ovarian Fibrothecoma with Minor Sex Cord Elements

Abstract: Introduction: Ovarian stromal tumors with minor sex cord elements are rare, and there are not specific imaging features to help in making the diagnosis. Case Presentation: We report a case of this tumor in an 81-year-old woman who was referred to our hospital for constipation and a pelvic mass. Magnetic resonance imaging demonstrated a well-circumscribed mass and isointensity compared to the skeletal muscle on T1-weighted imaging (T1WI) and low signal intensity mixed with high signal ranges on T2-weighted imaging. Dynamic gadolinium-enhanced fat-suppressed T1WI revealed mild and increased enhancement of the peripheral area in the early and delayed phases, respectively. On diffusion-weighted imaging (DWI), a heterogeneously high signal intensity corresponding to the peripheral enhanced area was observed, and the apparent diffusion coefficient values of the high-intensity areas on DWI were low. Malignancy could be suspected, so the mass was surgically removed. Pathological assessment revealed a fibrothecoma with minor sex cord elements. Conclusion: The tumor’s preoperative diagnosis is difficult, although the possibility of this rare tumor from atypical findings on DWI and/or dynamic contrast enhancement studies should be considered.

Standort
Deutsche Nationalbibliothek Frankfurt am Main
Umfang
Online-Ressource
Sprache
Englisch

Erschienen in
A Case Report: Ovarian Fibrothecoma with Minor Sex Cord Elements ; volume:17 ; number:1 ; year:2024 ; pages:107-112 ; extent:6
Case reports in oncology ; 17, Heft 1 (2024), 107-112 (gesamt 6)

Urheber
Miki, Reina
Kitajima, Kazuhiro
Maeda, Tetsuo
Watanabe, Takahiro
Oki, Noriyoshi

DOI
10.1159/000534798
URN
urn:nbn:de:101:1-2406270057019.674166549787
Rechteinformation
Open Access; Der Zugriff auf das Objekt ist unbeschränkt möglich.
Letzte Aktualisierung
14.08.2025, 10:59 MESZ

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Beteiligte

  • Miki, Reina
  • Kitajima, Kazuhiro
  • Maeda, Tetsuo
  • Watanabe, Takahiro
  • Oki, Noriyoshi

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