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
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                Deutsche Nationalbibliothek Frankfurt am Main
 
- Umfang
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                Online-Ressource
 
- Sprache
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                Englisch
 
- Erschienen in
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                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
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                Miki, Reina
 Kitajima, Kazuhiro
 Maeda, Tetsuo
 Watanabe, Takahiro
 Oki, Noriyoshi
 
- DOI
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                        10.1159/000534798
- URN
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                        urn:nbn:de:101:1-2406270057019.674166549787
- Rechteinformation
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                        Open Access; Der Zugriff auf das Objekt ist unbeschränkt möglich.
- Letzte Aktualisierung
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                        14.08.2025, 10:59 MESZ
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Beteiligte
- Miki, Reina
- Kitajima, Kazuhiro
- Maeda, Tetsuo
- Watanabe, Takahiro
- Oki, Noriyoshi
