title: Bilateral ovarian fibrothecoma. An uncommon cause of a large pelvic mass.
abstract: Ovarian fibrothecomas are uncommon tumors of gonadal stromal cell origin. They account for 3-4% of all ovarian tumors and in 90% of the cases are unilateral. Here, we describe a rare case of a bilateral ovarian fibrothecoma in a postmenopausal woman who presented with a large pelvic mass and metrorrhagia. Diagnostic evaluation and surgical management are discussed along with a brief review of the literature. Although rare, ovarian fibrothecoma should be considered in patients presenting with a large pelvic mass and postmenopausal bleeding. Radical surgery is the preferred management strategy for postmenopausal women with bilateral ovarian fibrothecomas and is associated with a good prognosis.
authors.affiliation: 2nd Department of Surgery, Army General Hospital, 19 Taxiarhon Str, 19014 Kapandriti, Athens, Greece.
authors.forename: Nikolaos S
authors.initials: NS
authors.lastname: Salemis
authors.forename: Nikolaos
authors.initials: N
authors.lastname: Panagiotopoulos
authors.forename: Vera
authors.initials: V
authors.lastname: Papamichail
authors.forename: Konstantinos
authors.initials: K
authors.lastname: Kiriakopoulos
authors.forename: Evangelos
authors.initials: E
authors.lastname: Niakas
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