Presentation
Infertility and cyclic lower abdominal pain of several months duration.
Patient Data
Well-circumscribed adnexal masses measuring about 25 x 30 mm and 35 x 45 mm at the left and right adnexa respectively that return iso signal on T1, low signal on T2 and STIR with enhancement the same as myometrium on the post-contrast scan ( ORADS- IV). There are tiny cystic changes within the lesion on the right side.
Fluid equivalent signal cyst with thin smooth wall enhancement measuring about 30 x 35 mm on the right adnexa (ORADS- II).
No evidence of water restriction is depicted on DWI images.
Case Discussion
Ovarian fibromas are benign ovarian tumors of sex cord / stromal origin. Although fibromas account for ~4% of all ovarian neoplasms, they are the most common sex cord ovarian tumor. In about 1%, these benign tumors may lead to the Meigs syndrome. MRI findings were suggestive of ovarian fibroma and this was followed by excisional biopsy of the right adnexa mass and histopathology which confirmed the diagnosis.
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