ABSTRACT
Ovarian fibroma with minor sex cord element (MSCE) is a rare tumor. The increased estrogen production due to the presence of MSCE and/or luteinized thecal cells within fibroma can be a risk factor for endometrial hyperplasia or carcinoma.
ABSTRACT
Se presenta el caso clínico de una gestante de 24 años de edad, quien acudió al Cuerpo de Guardia del Hospital Provincial Ginecoobstétrico Docente "Mariana Grajales Coello" de Santiago de Cuba, por presentar dolor en la parte baja del vientre, además de náuseas y estreñimiento. Se consideró el diagnóstico de fibroma de ovario, que fue definitivo luego de intervenirle quirúrgicamente y realizar el estudio anatomopatológico. Posteriormente se mantuvo el seguimiento clínico en consulta externa; la paciente evolucionó favorablemente y mantuvo su embarazo hasta tener a su hijo -- un recién nacido sano y a término -- a través de parto eutócico.
The case report of a 24 years pregnant woman who went to the emergency room of "Mariana Grajales Coello" Teaching Gyneco-obstetrical Provincial Hospital from Santiago de Cuba is presented, due to a pain in the low part of the stomach, besides nauseas and constipation. The diagnosis of ovarian fibroma was considered which was definitive after surgical treatment and after pathological study. Later the clinical follow-up through out-patient department was maintained; the patient had a favorable clinical course and she preserved her pregnancy until her son was born -- a term healthy newborn -- through eutocic childbirth.
Subject(s)
Ovary , Fibroma , Pregnant WomenABSTRACT
La presencia de "células en anillo de sello" en el tejido ovárico es el marcador histológico clásico del tumor de Krukenberg. Un adenocarcinoma metastásico altamente agresivo y de baja sobrevida. En cambio, los fibromas ováricos son tumores del estroma generalmente benignos. Presentamos un caso muy infrecuente de fibroma celular con presencia de células en anillo de sello y revisamos los criterios para el diagnóstico diferencial con el tumor de Krukenberg.
The presence of signet-ring cells in ovarian tissue is classically described as histological marker of Krukenberg tumor. It is highly aggressive metastatic adenocarcinoma with low survival. In contrast, ovarian fibroid is a stromal tumor usually benign. We present a very rare case of cellular fibroma with presence of signet-ring cells and we review the criteria for differential diagnosis of Krukenberg tumor.
Subject(s)
Humans , Adult , Female , Fibroma/diagnosis , Ovarian Neoplasms/diagnosis , Krukenberg Tumor/diagnosis , Stromal Cells/pathology , Diagnosis, DifferentialABSTRACT
Meigs' syndrome is defined as presence of pleural effusion, with ovarian tumor associated ascites, which spontaneously resolve soon after the removal of the tumor. The pathogenesis of the pleural effusion, in patients with Meigs' syndrome, is thought to be the passage of fluid from the peritoneal cavity into the pleural cavity, through small holes in the diaphragm. A case of Meigs' syndrome, in a 63-year-old woman, who had been referred for control of pleural effusion is reported.
Subject(s)
Female , Humans , Middle Aged , Ascites , Diaphragm , Meigs Syndrome , Peritoneal Cavity , Pleural Cavity , Pleural EffusionABSTRACT
Meigs' syndrome consists of an ovarian fibroma, or fibroma-like benign tumor, associated with fluid in both abdomen and chest. Characteristically, the ascites and hydrothorax disappeared and do not recurred following removal of the ovarian tumor. The authors presented a case of Meigs' syndrome that was cured by surgical removal of ovarian tumor and resulted in normal pregnancy outcome in 27-year-old pregnant woman with a brief review of literatures.