GIANT OVARIAN FIBROMA MIMICKING A SUBSEROUS UTERINE MYOMA: A CASE REPORT

El Mehdi El Hassani, Mounir Moukit*, Fatimazahra Cherrabi, Abdellah Babahabib, Jaouad Kouach, Driss Moussaoui

ABSTRACT

Ovarian fibromas are uncommon benign neoplasms representing 2% of all ovarian tumors. Preoperative diagnosis of ovarian fibromas is difficult not only due to its rarity, but also owing to the resemblance of its clinical and imaging features with other neoplasms, especially uterine myoma. The authors report a case of 43-year-old woman presented with giant abdominal mass. Preoperative diagnosis of a subserous uterine myoma was made on the basis of clinical examination and radiological imaging. Intraoperative findings were a large mass originating from the right ovary which was removed and sent for frozen section examination confirming the diagnosis of an ovarian fibroma. Despite its rarity, ovarian fibroma should be considered in the differential diagnosis of a giant abdominal mass. Its definitive diagnosis and treatment requires surgical removal with intraoperative frozen section.

Keywords: Ovarian fibroma; uterine myoma; surgery.