Bencherifi Y, Watik F, Lyafi Y, Mostapha Benhassou, Ennachit Mouhammed, Mohammed El Karroumi
Gynecology Department, University Hospital Center Ibn Rochd Casablanca, Casablanca, Morocco.
Gynecology Department, University Hospital Center Ibn Rochd Casablanca, Casablanca, Morocco.
Int J Surg Case Rep. 2023 Sep;110:108649. doi: 10.1016/j.ijscr.2023.108649. Epub 2023 Aug 12.
Ovarian cystadenofibroma is a relatively rare benign tumor (Groutz et al., 1994) that develops from the ovarian epithelium and stroma. This tumor can be solid, cystic, or semi-solid, depending on the fraction of epithelium and stroma it contains and the secretory activity of the epithelium that composes it.
We report the case of a 58-year-old multiparous patient who consulted for pelvic pain and for whom an MRI was requested, objectifying the presence of a mass of ovarian origin. The patient had been menopausal since the age of 51 and was not taking hormone replacement therapy. She had comorbid hypertension for 4 years under treatment. Preoperative ultrasound showed an ovarian-appearing, finely echogenic mass, site of endocystic vegetation, measuring 8.48 mm × 7.30 mm long axis.
The mechanism underlying this hyperestrogenism is considered to be hypersecretion of the hormone by the tumor itself.
cystadenofibromas had morphologic imaging features of malignancy on CT or MR images. On histology, solid components in the cystic tumors were correlated with fibrous stromas that occasionally made a false positive result for malignancy on imaging.
卵巢囊腺纤维瘤是一种相对罕见的良性肿瘤（格鲁茨等人，1994年），起源于卵巢上皮和间质。该肿瘤可以是实性、囊性或半实性，这取决于其所含上皮和间质的比例以及构成它的上皮的分泌活性。
我们报告一例58岁经产妇，因盆腔疼痛前来就诊，并接受了磁共振成像（MRI）检查，结果显示存在一个卵巢来源的肿块。该患者自51岁起绝经，未接受激素替代治疗。她患有高血压共4年，正在接受治疗。术前超声显示一个类似卵巢的、回声细腻的肿块，为囊内赘生物部位，长轴尺寸为8.48毫米×7.30毫米。
这种高雌激素血症的潜在机制被认为是肿瘤自身激素分泌过多。
囊腺纤维瘤在CT或MR图像上具有恶性肿瘤的形态学成像特征。在组织学上，囊性肿瘤中的实性成分与纤维性间质相关，这偶尔会在影像学上导致恶性肿瘤的假阳性结果。
