Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Case Reports
. 2019 Sep 18;9(1):36-38.
doi: 10.4103/GMIT.GMIT_131_18. eCollection 2020 Jan-Mar.

Ovarian Fibroma Commonly Misdiagnosed as Uterine Leiomyoma

Ibrahim A Abdelazim  1   2 , Mohannad Abu-Faza  2 , Khaled Abdelrazek  1 , Osama O Amer  3 , Svetlana Shikanova  4 , Gulmira Zhurabekova  5
Affiliations
Case Reports

Ovarian Fibroma Commonly Misdiagnosed as Uterine Leiomyoma

Ibrahim A Abdelazim et al. Gynecol Minim Invasive Ther. .

Abstract

Ovarian fibroma usually misdiagnosed preoperatively as uterine leiomyoma. A 36-year-old woman, presented with abdominal pain and vomiting, provisionally diagnosed as complicated ovarian cyst. The transvaginal ultrasound and Doppler showed left solid adnexal mass with preserved ovarian blood flow. Magnetic resonance imaging showed a well-defined solid mass in the left side of the pelvis, measuring 8 cm × 10 cm most probably subserous uterine leiomyoma. At laparotomy, the solid ovarian mass was originating from the left ovary, and the microscopic examination confirmed the diagnosis of the ovarian fibroma. This report represents the preoperative misdiagnosis of the ovarian fibromas and the conservative ovarian surgery for the ovarian fibromas and the importance of the follow-up for future fertility and/or recurrence of the fibromas in young women.

Keywords: Fibroma; leiomyoma; misdiagnosed; ovarian; uterine.

PubMed Disclaimer

Conflict of interest statement

There are no conflicts of interest.

Figures

Figure 1
Figure 1
Left ovarian solid mass with normal right ovary and uterus
Figure 2
Figure 2
The excised solid ovarian mass measuring 10 cm × 8 cm
See this image and copyright information in PMC

References

    1. Najmi Z, Mehdizadehkashi A, Kadivar M, Tamannaie Z, Chaichian S. Laparoscopic approach to a large ovarian fibroma: A case report. J Reprod Infertil. 2014;15:57–60. - PMC - PubMed
    1. Chechia A, Attia L, Temime RB, Makhlouf T, Koubaa A. Incidence, clinical analysis, and management of ovarian fibromas and fibrothecomas. Am J Obstet Gynecol. 2008;199:473.e1–4. - PubMed
    1. Nocito AL, Sarancone S, Bacchi C, Tellez T. Ovarian thecoma: Clinicopathological analysis of 50 cases. Ann Diagn Pathol. 2008;12:12–6. - PubMed
    1. Leung SW, Yuen PM. Ovarian fibroma: A review on the clinical characteristics, diagnostic difficulties, and management options of 23 cases. Gynecol Obstet Invest. 2006;62:1–6. - PubMed
    1. Patsner B. Meigs syndrome and “false positive” preoperative serum CA-125 levels: Analysis of ten cases. Eur J Gynaecol Oncol. 2000;21:362–3. - PubMed

Publication types