Enormous Ovarian Borderline Serous Cystic Fibroma in Postmenopausal Patient. A Case

Ovarian serous cystadenomas are benign tumors that arise from ovarian epithelium. They represent the commonest type accounting for approximately 60%.

They affect all ages with a peak incidence between the 4th and 5th decade of life. Their definite differentiation from other ovarian masses is based on histological findings. Even though serous cystadenomas are quite commonly diagnosed ovarian masses, the diagnosis of unusually enormous masses is still quite rare.

This case report refers to the case of a post-menopausal 52-year-old woman, admitted at our Department, complaining of abdominal swelling over the past 3 years. An abdominal CT scan performed, revealing an enormous mass, originating from the right ovary, extending throughout the whole abdominal cavity towards the diaphragm up to the xiphoid process. Patient underwent exploratory laparotomy revealing an ovarian mass with median diameter 30x25x15cm.

She underwent a total abdominal hysterectomy with bilateral salpigoopherectomy and dissection of the momentum, as part of surgical staging of the lesion. Final histopathological report confirmed the details of the frozen biopsy, announcing the presence of serous cystic fibroma of borderline malignancy.

Multidisciplinary approach proposed follow up of the patient with assiduous imaging findings.

Keywords: Ovarian mass; Borderline malignancy; Cystic fibroma