- 作者：Abdellatif Chechia ; Leila Attia ; Riadh Ben Temime ; Taher Makhlouf ; Abdelhamid Koubaa
- 关键词：laparoscopy ; laparotomy ; ovarian fibrothecoma ; ultasonography
- 刊名：American Journal of Obstetrics and Gynecology
- 出版年：2008
- 出版时间：November 2008
- 年：2008
- 卷：199
- 期：5
- 页码：473.e1-473.e4
- 全文大小：277 K
Objective
The objective of the study was to identify the incidence, diagnosis, and therapeutic and histological particularities of ovarian fibromas and fibrothecomas.Study Design
This was a retrospective study of 24 patients who underwent surgical treatment for ovarian fibromas and fibrothecomas between January 1994 and December 2006. Clinical, ultasonographic, tumor marker, therapeutic, and histologic data were analyzed.
Results
The mean age of patients was 49 years. Thirteen patients were menopausal. Ultrasonographic findings were ovarian echogenic tumor in 6 cases, hypoechogenic tumor in 12 cases, mixed tumor in 6 cases, and anechogenic tumor in 1 case. Cancer antigen-125 level measured in 21 cases was abnormal in 3 cases. Twenty-one patients underwent laparotomy. Three patients underwent laparoscopy; however, 1 was converted to laparotomy because of a suspected tumor. Histological findings were 16 fibromas and 9 fibrothecomas.
Conclusion
Ovarian fibromas and fibrothecomas are uncommon, accounting for 3.3 % of ovarian tumors. These lesions often occur in perimenopausal and menopausal patients. Clinical, ultasonographic, and tumor marker data remain the best preoperative approach currently available for ovarian tumors. However, the diagnosis remains histological.