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    Cystadenofibroma of The Ovary A Case Report

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    International Journal of Innovative Science and Research Technology
    Ovarian cystadenofibroma is a rare benign epithelial tumor whose radiological and intraoperative appearance may simulate a malignant tumor, hence the interest of our clinical case. The patient was 77 years old, multiparous, with no notable pathological history, and had presented with chronic pelvic pain. Physical examination revealed right latero-uterine tenderness with bulging in the right cul de sac. Pelvic ultrasound revealed a double tissue and fluid (mostly cystic) image in the right retro

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    Cystadenofibroma of The Ovary A Case Report

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    International Journal of Innovative Science and Research Technology
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    Ovarian cystadenofibroma is a rare benign epithelial tumor whose radiological and intraoperative appearance may simulate a malignant tumor, hence the interest of our clinical case. The patient was 77 years old, multiparous, with no notable pathological history, and had presented with chronic pelvic pain. Physical examination revealed right latero-uterine tenderness with bulging in the right cul de sac. Pelvic ultrasound revealed a double tissue and fluid (mostly cystic) image in the right retro

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    Cystadenofibroma of the Ovary a Case Report

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    Ovarian cystadenofibroma is a rare benign epithelial tumor whose radiological and intraoperative appearance may simulate a malignant tumor, hence the interest of our clinical case. The patient was 77 years old, multiparous, with no notable pathological history, and had presented with chronic pelvic pain. Physical examination revealed right latero-uterine tenderness with bulging in the right cul de sac. Pelvic ultrasound revealed a double tissue and fluid (mostly cystic) image in the right retro

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    Cystadenofibroma of The Ovary A Case Report

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    International Journal of Innovative Science and Research Technology
    Ovarian cystadenofibroma is a rare benign epithelial tumor whose radiological and intraoperative appearance may simulate a malignant tumor, hence the interest of our clinical case. The patient was 77 years old, multiparous, with no notable pathological history, and had presented with chronic pelvic pain. Physical examination revealed right latero-uterine tenderness with bulging in the right cul de sac. Pelvic ultrasound revealed a double tissue and fluid (mostly cystic) image in the right retro

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    Volume 8, Issue 1, January – 2023 International Journal of Innovative Science and Research Technology

    ISSN No:-2456-2165

    Cystadenofibroma of the Ovary: A Case Report


    Mohamed Abdellahi EL MOCTAR¹*, Fatiha OUAKKA¹, Karam Mommed SAOUD¹, Nisrine MAMOUNI¹, Sanae
    ERRARHAY¹, Chahrazad BOUCHIKHI¹, Abdelaziz BANANI¹

    Department of Gynecology and Obstetrics I CHU HASSAN II Faculty of Medicine,


    Pharmacy and Odontology, University of Sidi Mohamed Ben Abdallah
    MAROC

    Abstract:- Ovarian cystadenofibroma is a rare benign II. OBSERVATION


    epithelial tumor whose radiological and intraoperative
    appearance may simulate a malignant tumor, hence the The patient was 77 years old, with no notable
    interest of our clinical case. The patient was 77 years old, pathological history G5 P5 (vaginal deliveries), who
    multiparous, with no notable pathological history, and consulted for chronic abdominal-pelvic pain of the heavy
    had presented with chronic pelvic pain. Physical type, associated with an increase in abdominal volume,
    examination revealed right latero-uterine tenderness with without any other associated signs, evolving in a context of
    bulging in the right cul de sac. Pelvic ultrasound revealed conservation of the general state with, on physical
    a double tissue and fluid (mostly cystic) image in the right examination, a supple abdomen with no palpable mass and,
    retro and latero uterine area, with a solid component that on vaginal touch combined with abdominal palpation, a right
    did not show up on color Doppler, measuring 10.5 × 5.7 latero-uterine tenderness with a bulge in the right cul-de-sac
    cm. In addition, the uterus was of normal size with a thin
    endometrium and no effusion. The thoracoabdomino- Pelvic ultrasound revealed: presence in the right retro
    pelvic CT scan showed a solid cystic mass probably and latero-uterine area of an image with a double tissue and
    ovarian right measuring 96 72+68 mm, otherwise no fluid component (mostly cystic), the solid component of
    suspicious abnormality. The tumor marker CA125 was which did not show up on the color Doppler, measuring 10.5
    negative. A total hysterectomy with bilateral × 5.7 cm. In addition, the uterus was of normal size with a
    adnexectomy and multiple biopsies were performed. The thin endometrium .
    postoperative course was simple. Pathological
    examination revealed an ovarian serous Thoracic abdominal and pelvic CT scan:
    cystadenofibroma. Serous cystadenofibroma of the ovary  Solid cystic mass probably right ovarian measuring 96
    can have a misleading appearance on imaging. It is 72+68 mm (images 1,2,3).
    therefore a differential diagnosis of malignant tumors of  No suspicious abnormality
    the ovary.  The tumor marker Ca125 was negative (13 IU/ml)

    I. INTRODUCTION The patient underwent a laparotomy with the following


    exploration:
    Ovarian cystadenofibroma is a relatively rare benign  Small peritoneal effusion aspirated and sent for
    tumor of the ovary [1] that arises from the germ lines and cytological study
    ovarian stroma. This tumor can be solid, cystic, or solid-  Uterus of normal size Right adnexa: presence of a solid
    cystic, depending on the fraction of epithelium and stroma it cystic mass 10 cm long, suspicious of malignancy without
    contains and the secretory activity of the epithelium within it capsular effraction, Left adnexa without any particularity.
    [2]. Cystadenofibromas of the ovary may present as  The rest of the exploration was unremarkable (liver,
    malignant tumors, and therefore may wrongly induce an omentum and peritoneum)
    aggressive surgical attitude. and thus posing the problem of
    adjusting the surgical treatment. We present a case of serous In view of the clinical, radiological and perioperative
    cystadenofibroma of the ovary which simulated the data, a hysterectomy with bilateral adnexectomy and multiple
    appearance of malignancy, thus leading to a radical surgical biopsies with cytological sampling were decided, the
    treatment histological study of the operating room revealed a serous
    cystadenofibroma of the ovary, the cytology was free of
    tumour cells, the postoperative course was simple.

    IJISRT23JAN1263 www.ijisrt.com 2499


    Volume 8, Issue 1, January – 2023 International Journal of Innovative Science and Research Technology
    ISSN No:-2456-2165

    Images 1,2,3: different CT sections of the voluminous solid-cystic ovarian mass whose solid component is enhanced after
    injection of contrast medium, without visualization of vegetations or endocystic septum, measuring 9 x 72 x68 mm in diameter

    III. DISCUSSION [4]. Schmidt G, Fowler Jr WC. Ovarian cystadenofibromas


    in three women with antenatal exposure to
    Ovarian cystadenofibromas represent 1.7% of benign diethylstilbestrol. Gynecol Oncol 1982;14:175—84.
    tumors of the ovary. They are most often of the serous type, [5]. Roth LM, et al. Ovarian clear cell adenofibromatous
    but can also be endometrioid, clear cell or mucinous tumors. Benign, of low malignant potential, and
    [2,3].These tumors can be asymptomatic. When they are associated with invasive clear cell carcinoma. Cancer
    larger, they cause pain [2], an increase in abdominal volume 1984;53:1156—63.
    or dysuria [3,4,5]. The ultrasound appearance is variable; [6]. Virgilio BA, De Blasis I, Sladkevicius P, Moro F,
    according to Viriligo et al [6], one can find either a unilocular Zannoni GF, Arciuolo D et al. Imaging in gynecological
    cyst with one or more papillary projections (25.9%), or a disease (16): clinical and ultrasound characteristics of
    multilocular solid mass with one or more solid components serous cystadenofibromas in adnexa. Ultrasound Obstet
    but without any papillary projection (19.4%). Gynecol. 2019 Dec;54(6): 823-830.
    Intraoperatively, they most often have a smooth, shiny
    surface, sometimes they have a surface covered with papillary
    growths. The tumors vary in size. They can reach up to 30 cm
    in diameter. The operative aspect is most often simulative of
    malignancy, hence the interest of extemporaneous
    histological examination, to avoid an aggressive surgical
    treatment especially when it is a young patient.

    IV. CONCLUSION

    Serous cystadenofibroma of the ovary is a rare benign


    tumour that can simulate a malignant tumour on imaging and
    even intraoperatively. It therefore constitutes an essential
    differential diagnosis of malignant tumours of the ovary,
    hence its susceptibility to wrongly induce an aggressive
    surgical attitude.

    Conflicts of interest
    The authors declare no conflicts of interest.

    REFERENCES

    [1]. Groutz A, et al. Cystadenofibroma of the ovary in young


    women. Eur J Obstet Gynecol Reprod Biol
    1994;54:137—9.
    [2]. Wolfe SA, Seckinger Jr DL. Varied anatomical types of
    ovarian adenofibroma. A proposed classification. Am J
    Obstet Gynecol 1967;99:121—5.
    [3]. Bell DA. Mucinous adenofibromas of the ovary. A
    report of 10 cases. Am J Surg Pathol 1991;15:227—32.

    IJISRT23JAN1263 www.ijisrt.com 2500

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