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Calcified bilateral ovarian fibroma in a 15 year old female: case report and literature review

Aim: To highlight the potential for misdiagnosis of ovarian fibromas and need for careful evaluation especially when fertility altering decisions need to be taken in the young adolescent. Presentation of Case: The authors here review literature and present the case of a 15 year old pre menarchal pat...

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Published: 2019
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LEADER 00000njm a2000000a 4500
001 oai:repository.ui.edu.ng:123456789/11904
042 |a dc 
720 |a Adesina, A. M.  |e author 
720 |a Imaralu, J. O.  |e author 
720 |a Yusuf, A. O.  |e author 
720 |a Ajani, M. A.  |e author 
260 |c 2019 
520 |a Aim: To highlight the potential for misdiagnosis of ovarian fibromas and need for careful evaluation especially when fertility altering decisions need to be taken in the young adolescent. Presentation of Case: The authors here review literature and present the case of a 15 year old pre menarchal patient with bilateral, solid hard ovarian tumors with marked ascites, who had bilateral salpingo-oophorectomy, in whom the tumors turned out to be bilateral calcific ovarian fibromas. Discussion: Ovarian neoplasia are often misdiagnosed because of their non-specific symptoms and similarities to other pathologies on radiological imaging. The management of adolescents with ovarian tumors poses peculiar challenges as there is need for a balance between the risk of malignancy and the need to preserve fertility. About 1/3 of pelvic masses in pre-pubertal girls are malignant. This fact in addition to the non-specific features of malignancy in this patient such as weight loss, ascites, necessitated further evaluation which included laparotomy. Conclusion: Ovarian fibromas occur in adolescents and can pose a diagnostic dilemma; a high index of suspicion is required to plan fertility-sparing and cancer-limiting management. 
024 8 |a 2394-109X 
024 8 |a International Journal of Medical and Pharmaceutical Case Reports 12(1), pp. 1-7 
024 8 |a ui_art_adesina_calcified_2019 
024 8 |a https://repository.ui.edu.ng/handle/123456789/11904 
653 |a Cancer 
653 |a Fertility 
653 |a Fibroid 
653 |a Fibroma 
653 |a Ovary 
653 |a Tumors 
245 0 0 |a Calcified bilateral ovarian fibroma in a 15 year old female: case report and literature review