What Is an Ovarian Fibroma?

Ovarian fibroma is a common benign tumor in ovarian cord stromal tumors. Symptoms such as pelvic mass, pleural effusion, abdominal pain, and menstrual disorders may occur clinically. Some patients are asymptomatic and were only found by accident during physical examination or surgery. In terms of treatment, surgery is the main method.

Basic Information

English name: fibroma ovarii, fibroma of ovary
Visiting department: Gynecology, Oncology

Multiple groups: Women
Common locations: Ovary
Common symptoms: Bloating, enlarged abdomen, chest tightness, shortness of breath, difficulty urinating, etc.

Causes of ovarian fibroma

The cause is unknown. It may be related to the abnormal number and structure of certain chromosomes, and the role of oncogenes and tumor suppressor genes.

Ovarian fibroma clinical manifestations

Pelvic mass

Ovarian fibroids have a large morphology, most of which are medium in size and have an average diameter of about 10 cm. The tumor is smooth, mobile, and hard in texture. It is the hardest tumor in all ovarian tumors, which is an important clinical feature.

2. Abdominal and pleural effusions

Ovarian fibroma with pleural and peritoneal effusions. After the tumor is removed, the pleural and peritoneal effusions disappear, which is called McGondon syndrome and is rare in clinical practice.

Ovarian fibroids are often associated with peritoneal effusion alone, accounting for about 41%, especially in patients with large tumors and edema in the tumor stroma, with a higher incidence. Ascites fluid is rare in benign ovarian tumors, which is also a characteristic manifestation of ovarian fibroids. Symptoms such as abdominal distension, enlarged abdomen, chest tightness, shortness of breath, and dysuria may occur clinically.

3. Abdominal pain

Ovarian fibroma is a solid tumor with a hard texture and a certain weight, which can be reversed as the patient's position changes. Almost half of the patients have clinical symptoms of abdominal pain.

4. Menstrual disorders

A small portion of ovarian fibroma still has endocrine function. Clinical symptoms of menstrual disorders and bleeding after menopause may occur.

There are also some patients (30% to 54%) with no clinical symptoms of ovarian fibroma, which were found by accident during physical examination or other abdominal surgery.

Ovarian fibroma test

This disease can be used for tumor markers, imaging, and histopathology.

Ovarian fibroma diagnosis

Elderly women with solid masses in the pelvis, smooth surface, mobility, hard texture, and insignificant endocrine disorders should consider ovarian fibroids.

Differential diagnosis of ovarian fibroma

In patients with peritoneal effusion, if the general condition is poor, the symptoms of compression are obvious, and it is difficult to distinguish from ovarian cancer. Multicellular fibroma, primary ovarian fibrosarcoma, and primary ovarian myxoma can be diagnosed by clinical manifestations, histopathological examination, and immunohistochemical examination. Ovarian membrane cell tumors, fibroepithelial tumors, and adenofibroma. When the solid components of the tumor are dominant, the pelvic examination touches the solid and hard masses, which is difficult to distinguish from fibroids. Postoperative pathological examination is required to determine the tumor tissue. origin of.

Ovarian Fibroma Treatment

Surgical treatment: Ovarian fibroids are benign tumors. The contralateral ovaries of young women are normal and the affected side can be removed. Middle-aged and elderly women can perform double attachment removal of the uterus. With pleural and abdominal effusion, the thoracic and abdominal effusion subsided naturally after surgery.