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Fibroma with minor sex cord elements – an incidental finding in a normal sized ovary A case report with literature review.doc

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Fibroma with minor sex cord elements – an incidental finding in a normal sized ovary A case report with literature review

Diagnostic Pathology BioMedCentral Case Report Open Access Fibroma with minor sex cord elements – an incidental finding in a normal sized ovary A case report with literature review Shramana Mandal*, Dipti Mahajan, Somak Roy, Meeta Singh and Nita Khurana Address: Department Of Pathology, Maulana Azad Medical College, New Delhi-110002, India Email: Shramana Mandal* - shra_mana@; Dipti Mahajan - mahajan.dipti@; Somak Roy - roys911@; Meeta Singh - meeta_166@yahoo.co.in; Nita Khurana - nitakhurana@ * Corresponding author Published: 4 December 2007 Received: 2 June 2007 Accepted: 4 December 2007 Diagnostic Pathology 2007, 2:46 doi:10.1186/1746-1596-2-46 This article is available from: /content/2/1/46 ? 2007 Mandal et al; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Abstract Ovarian fibroma with minor sex cord element is a rare neoplasm. Microscopically it is composed of predominantly fibromatous or a thecomatous tumor containing scattered minor sex cord elements in less than 10% of the tumor area. A case of fibroma with minor sex cord elements discovered incidentally in a normal sized ovary in a patient who presented with dysfunctional uterine bleeding is being presented. This is the first case report describing this entity in a normal sized ovary as an incidental finding. Background retroverted and mobile with clear bilateral fornices were free. Abdominal ultrasonography was normal. A clinical diagnosis of dysfunctional uterine bleeding with second degree cervical descent along with second degree cystocele and rectocele was made. Since the patient had completed her family, a total abdominal hysterectomy along with bilateral salpingo-oophorectomy was performed. Ovarian fibroma with minor