A Case Report of Primary Ovarian Fibrothecoma in a Perimenopausal Female
Abstract: Solid adnexal masses in perimenopausal women present a genuine diagnostic dilemma, especially when serum tumour markers offer no directional clue. Ovarian fibrothecoma- a gonadal stromal neoplasm blends the architectural features of a fibroma with those of a thecoma- is one of the less common culprits in this scenario. We describe a 45-year-old woman who attended our outpatient clinic carrying a two-year burden of worsening pelvic pain. Imaging identified a solid right adnexal mass, and a full biochemical workup, including a complete tumour marker screen, suggested normal values. During laparotomy, the surgical field revealed a blackish-blue encapsulated mass of approximately 50 ? 40 mm which was originating from a thrice-twisted right adnexa, consistent with acute ovarian torsion superimposed on the underlying neoplasm. Right salpingo-oophorectomy was performed, and histopathology confirmed fibrothecoma. This report underlines the importance of keeping fibrothecoma in the differential diagnosis of solid ovarian masses and reaffirms the role of frozen-section analysis and immunohistochemistry in arriving at a definitive tissue diagnosis.
Keywords: Ovarian fibrothecoma, Sex cord-stromal tumour, Ovarian torsion, Perimenopausal female, Laparotomy, Immunohistochemistry
How to Cite?: Aayushi Negi, Oby Nagar, Suwaram Saini, "A Case Report of Primary Ovarian Fibrothecoma in a Perimenopausal Female", Volume 15 Issue 4, April 2026, International Journal of Science and Research (IJSR), Pages: 305-307, https://www.ijsr.net/getabstract.php?paperid=SR26403185543, DOI: https://dx.doi.org/10.21275/SR26403185543