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A Fibroma with Cystic Change Developing in an Accessory Ovary - A Brief Case Report -

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Accessory ovaries are rare entities defined as small portions of ovarian tissue situated near, and connected to, the normally placed ovary. Tumors arising in accessory ovaries are extremely rare. In particular, a fibroma arising from an accessory ovary has not been reported in the literature. We describe such a case with a fibroma developing in an accessory ovary. A 53-year-old multiparous woman presented with abdominal pain for 2 months. Pelvic computed tomography revealed 11.0×8.0×6.0 cm sized cystic mass with a thick septal wall in right adnexa. The preoperative diag­nosis was a borderline ovarian tumor. Furthermore, a laparotomy showed a cystic mass connect­ed to the right ovary by stalk. The bilateral eutopic ovaries were completely normal. Histologically, an accessory ovary was replaced by a fibroma accompanied by extensive cystic change.

Abstract

Accessory ovaries are rare entities defined as small portions of ovarian tissue situated near, and connected to, the normally placed ovary. Tumors arising in accessory ovaries are extremely rare. In particular, a fibroma arising from an accessory ovary has not been reported in the literature. We describe such a case with a fibroma developing in an accessory ovary. A 53-year-old multiparous woman presented with abdominal pain for 2 months. Pelvic computed tomography revealed 11.0×8.0×6.0 cm sized cystic mass with a thick septal wall in right adnexa. The preoperative diag­nosis was a borderline ovarian tumor. Furthermore, a laparotomy showed a cystic mass connect­ed to the right ovary by stalk. The bilateral eutopic ovaries were completely normal. Histologically, an accessory ovary was replaced by a fibroma accompanied by extensive cystic change.

참고문헌 (8)

  1. Lim Myong Cheol, "Two Dermoid Cysts Developing in An Accessory Ovary and An Eutopic Ovary", Journal of Korean Medical Science, 19(3), pp.474~476 (2004), 대한의학회
  2. Andrade LA, "Sclerosing stromal tumor in an accessory ovary", Gynecol Oncol, 81, pp.318~319 (2001)
  3. Lachman MF, "The ectopic ovary. A case report and review of the literature", Arch Parhol Lab Med, 115, pp.233~235 (1991)
  4. Sharatz SM, "Giant serous cystadenoma arising from an accessory ovary in a morbidly obese 11- year-old girl: a case report", J Med Case Reports, 2, pp.7~ (2008)
  5. Heller DS, "Neoplasms arising in ectopic ovaries: a case of Brenner tumor in an accessory ovary", Int J Gynecol Pathol, 9, pp.185~189 (1990)
  6. Roth LM, "Steroid cell tumor of the broad ligament arising in an accessory ovary", Arch Pathol Lab Med, 120, pp.405~409 (1996)
  7. Liu AX, "Steroid cell tumors, not otherwise specified (NOS), in an accessory ovary: a case report and literature review", Gynecol Oncol, 97, pp.260~262 (2005)
  8. Kamiyama K, "Two cases of supernumerary ovary: one with large fibroma with Meig’s syndrome and the other with endometriosis and cystic change", Pathol Res Pract, 197, pp.847~851 (2001)

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