Ovarian fibroma thecoma with serous cystadenoma-an unusual combination in young patient: a case report

Tejas Gopalkrishnan
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Abstract

The article is a case report of a 16-year-old patient who came to tertiary care centre in western part of India with a case of ovarian tumor with torsion. The ovarian mass was a composite tumor of ovarian thecoma fibroma and serous cystadenoma. The detection of ovarian mass was made with ultrasonography and CT scan. Her tumor markers were not raised. The patient was managed surgically with ovarian mass removal along with removal of non-salvageable ovary. The present literature has very few cases of ovarian thecoma fibroma with serous cystadenoma and there is no such case occurring at a young age of 16 years. Such a case needs to be kept in mind when dealing with ovarian masses in young age as a solid mass with a cystic tumor may raise a suspicion of malignancy in preliminary evaluation. Also, further evaluation is necessary as to occurrence of such composite tumors and that too in younger age groups. 
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卵巢纤维瘤肉瘤伴浆液性囊腺瘤--年轻患者的罕见组合:病例报告
本文是一份病例报告,印度西部的一家三级医疗中心收治了一名卵巢肿瘤伴扭转的 16 岁患者。卵巢肿块是卵巢肉瘤纤维瘤和浆液性囊腺瘤的复合肿瘤。卵巢肿块是通过超声波检查和 CT 扫描发现的。她的肿瘤标志物没有升高。患者接受了卵巢肿块切除手术,同时切除了无法挽救的卵巢。目前的文献中很少有卵巢肉瘤纤维瘤合并浆液性囊腺瘤的病例,也没有一例发生在 16 岁的年轻女性身上。在处理幼年卵巢肿块时需要注意这种病例,因为在初步评估时,实性肿块伴囊性肿瘤可能会引起恶性肿瘤的怀疑。此外,有必要进一步评估此类复合肿瘤的发生率,而且是在年轻群体中。
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