title: Preservation of fertility after partial resection of bilateral ovarian cystadenofibromas: a case report.
abstract: BACKGROUND
  Benign cystadenofibromas and adenofibromas may represent precursors to malignant lesions.
  
  
  METHODS
  A 20-year-old woman undergoing infertility treatment was found to have cystadenofibromas involving both ovaries, with no separable normal ovarian tissue visible. Because complete resection of the tumors would have required bilateral oophorectomy, the tumors were only partially resected using a shave technique. This patient subsequently had 3 normal-term deliveries over 7 years and did not have any clinically significant regrowth of her tumors during this time.
  
  
  CONCLUSIONS
  It may be reasonable to delay removing benign tumors in a young woman who has not completed her childbearing.
authors.affiliation: Department of Obstetrics and Gynecology, Kaiser Permanente Northern California, Oakland, CA 94611, USA. thomas.ewing@comcast.net
authors.forename: Thomas L
authors.initials: TL
authors.lastname: Ewing
authors.forename: Betty
authors.initials: B
authors.lastname: Suh-Burgmann
mesh_terms: D000232:Adenofibroma / Q000473:pathology / Q000601:surgery*; D003537:Cystadenoma / Q000473:pathology / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007247:Infertility, Female / Q000517:prevention & control*; D010051:Ovarian Neoplasms / Q000473:pathology / Q000601:surgery*; D011247:Pregnancy; D016896:Treatment Outcome; D055815:Young Adult