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Fibroma with minor sex cord elements – an incidental finding in a normal sized ovary A case report with literature review

DOI: 10.1186/1746-1596-2-46

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A case of fibroma with minor sex cord elements discovered incidentally in a normal sized ovary in a patient who presented with dysfunctional uterine bleeding is being presented. This is the first case report describing this entity in a normal sized ovary as an incidental finding.Ovarian fibroma with minor sex cord elements is a rare entity which was first described by Young and Scully in 1983. Only 8 cases of ovarian fibroma with minor sex cord elements have been reported till date [1-4]. We report a case of fibroma with minor sex cord elements of a normal sized ovary discovered incidentally in a patient who presented with dysfunctional uterine bleeding. This is a rare, distinct clinico-pathologic entity among unclassified sex cord stromal tumors and is the first case report describing, the incidental occurrence of this entity in a normal sized ovary.A 45 year old female, gravida 3, para 3, presented to the gynecology outpatient with complaints of something coming out of the vagina and menorrhagia since the past 6 months. Per speculum examination revealed first degree cervical descent with second degree cystocele and rectocele. On vaginal examination uterus was 6 weeks in size, retroverted and mobile with clear bilateral fornices were free. Abdominal ultrasonography was normal. A clinical diagnosis of dysfunctional uterine bleeding with second degree cervical descent along with second degree cystocele and rectocele was made. Since the patient had completed her family, a total abdominal hysterectomy along with bilateral salpingo-oophorectomy was performed.We received a specimen of uterus with cervix along with bilateral adnexa measuring 8 × 3.5 × 2.5 cm. The cervix was everted pearly white in colour with 4 cm long endocervical canal. The endometrium and myometrium thickness were 0.1 cm and 2 cm. The myometrium on serial slicing showed a focus of hemorrhage. The right ovary measured 2.5 × 2.5 × 1.5 cm and was externally covered by capsule. Cut surface of the ovary sho

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