Fibrosarcoma of the ovary arising in a fibrothecomatous tumor with minor sex cord elements.   A Case report and review of the literature.
We report the case of a 69-year-old woman who presented with postmenopausal bleeding. Endometrial curettings showed complex atypical hyperplasia with focal well-differentiated adenocarcinoma. A computed tomographic scan of the abdomen revealed a right ovarian mass. Histologically, the right ovarian tumor was a fibrothecoma with minor sex cord elements showing focal fibrosarcomatous change. Fibrosarcoma of the ovary is a rare tumor that is considered to arise de novo or secondary to benign fibromatous tumors. Fibrothecoma of the ovary with minor sex cord elements is also a rare entity. To the best of our knowledge, this is the first reported case of a fibrosarcoma arising in a fibrothecoma with minor sex cord elements.
Lee
Hwei-Yee
HY
Department of Pathology, Singapore General Hospital, Singapore. hwei_yee@hotmail.com
Ahmed
Qasim
Q
D000368:Aged; D005260:Female; D005354:Fibrosarcoma / Q000209:etiology / Q000473:pathology*; D006801:Humans; D010051:Ovarian Neoplasms / Q000150:complications / Q000473:pathology*; D018312:Sex Cord-Gonadal Stromal Tumors / Q000150:complications* / Q000473:pathology; D013798:Thecoma / Q000150:complications* / Q000473:pathology