title: Large functional benign endometroid cystadenofibroma of the ovary leading to endometrial cystic glandular hyperplasia and postmenopausal bleeding.
abstract: Benign endometroid cystadenofibroma of the ovary is a rare tumour with few reported cases. The association of endometroid cystadenofibroma with endometrial cystic glandular hyperplasia has not been previously reported to authors' knowledge. We are reporting a 75-year-old postmenopausal woman who presented with a large abdominopelvic mass corresponding to 30 weeks size gravid uterus and postmenopausal bleeding. She has a well-oestrogenised vagina. Ultrasound pelvis revealed a large cystic mass extending from pelvis to epigastrium with no solid component and few incomplete septations and no internal echoes. MRI findings showed mainly cystic component with few moderately enhancing, fine, incomplete septa. Endometrial aspiration reported histopathology of cystic glandular hyperplasia without atypia. Serum oestrogen level reported to be high (210 pg/mL). Hysterectomy with bilateral salpingo-oophorectomy was performed. Histopathology of the specimen revealed benign endometroid cystadenofibroma. She remained asymptomatic and disease free during her 6-month follow-up.
authors.affiliation: Department of Obstetrics and Gynaecology, Maulana Azad Medical College, New Delhi, India. nilanchalisingh@gmail.com
authors.forename: Nilanchali
authors.initials: N
authors.lastname: Singh
authors.forename: Reva
authors.initials: R
authors.lastname: Tripathi
authors.forename: Yedla Manikya
authors.initials: YM
authors.lastname: Mala
authors.forename: Neeta
authors.initials: N
authors.lastname: Khurana
authors.forename: Mumtaz
authors.initials: M
authors.lastname: Khan
mesh_terms: D000368:Aged; D062625:Cystadenofibroma / Q000150:complications / Q000175:diagnosis* / Q000601:surgery; D003937:Diagnosis, Differential; D004714:Endometrial Hyperplasia / Q000209:etiology*; D016889:Endometrial Neoplasms / Q000150:complications / Q000175:diagnosis* / Q000601:surgery; D005260:Female; D006801:Humans; D010051:Ovarian Neoplasms / Q000150:complications / Q000175:diagnosis* / Q000601:surgery; D017698:Postmenopause; D016896:Treatment Outcome; D014592:Uterine Hemorrhage / Q000209:etiology*