Skip to main content
Log in

CT and MRI findings of cystadenofibromas of the ovary

  • Urogenital
  • Published:
European Radiology Aims and scope Submit manuscript


The aim of this study was to assess imaging findings on CT or MR images of histologically proven ovarian cystadenofibromas. In the period 1995–2001, 32 histologically proven ovarian cystadenofibromas were identified in 28 women. Of the 32 ovarian cystadenofibromas, 16 tumors were purely cystic and the remaining 16 were complex cystic on CT or MR images. Solid components of 16 complex cystic tumors were seen as nodular (n=8) or trabecular (n=9) solid areas. One tumor had both nodular and trabecular solid components. Among 16 complex cystic tumors, 14 had thick or irregular septa; thus, half of ovarian cystadenofibromas had morphological 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.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1a–e
Fig. 2a, b
Fig. 3a–c

Similar content being viewed by others


  1. Scott RB (1942) Serous adenofibromas and cystadenofibromas of the ovary. Am J Obstet Gynecol 43:733–751

    Google Scholar 

  2. McNulty JR (1959) The ovarian serous cystadenofibroma: a report of 25 cases. Am J Obstet Gynecol 77:1338–1344

    CAS  Google Scholar 

  3. Compton HL, Finck FM (1970) Serous adenofibroma and cystadenofibroma of the ovary. Obstet Gynecol 36:636–645

    CAS  PubMed  Google Scholar 

  4. Serov SF, Scully RE, Sobin LH (1973) Histological typing of ovarian tumors. In: International histological classification of tumors, no. 9. World Health Organization, Geneva

  5. Czernobilsky B, Borenstein R, Lancet M (1974) Cystadenofibroma of the ovary: a clinicopathologic study of 34 cases and comparison with serous cystadenoma. Cancer 34:1971–1981

    CAS  PubMed  Google Scholar 

  6. Outwater EK, Siegelman ES, Talerman A, Dunton C (1997) Ovarian fibromas and cystadenofibromas: MRI features of the fibrous component. J Magn Reson Imaging 7:465–471

    CAS  PubMed  Google Scholar 

  7. Wolfe SA (1927) Two rare ovarian tumors: adenofibroma, and dermoid cyst associated with multiple ovarian fibromata. Am J Obstet Gynecol 13:16–23

    Google Scholar 

  8. Kao GF, Norris HJ (1979) Unusual cystadenofibromas: endometrioid, mucinous, and clear cell types. Obstet Gynecol 54:729–736

    CAS  PubMed  Google Scholar 

  9. Roth LM, Czernobilsky B, Langley FA (1981) Ovarian endometrioid adenofibromatous and cystadenofibromatous tumors: benign, proliferating, and malignant. Cancer 48:1838–1845

    CAS  PubMed  Google Scholar 

  10. Bell DA, Scully RE (1985) Benign and borderline clear cell adenofibromas of the ovary. Cancer 56:2922–2931

    CAS  PubMed  Google Scholar 

  11. Alcázar JL, Errasti T, Mínguez JA, Galán MJ, García-Manero M, Ceamanos C (2001) Sonographic features of ovarian cystadenofibromas: spectrum of findings. J Ultrasound Med 20:915–919

    PubMed  Google Scholar 

  12. Fatum M, Rojansky N, Shushan A (2001) Papillary serous cystadenofibroma of the ovary: Is it really so rare? Int J Gynecol Obstet 75:85–86

    Article  CAS  Google Scholar 

  13. Ghossain MA, Buy JN, Ligneres C et al. (1991) Epithelial tumors of the ovary: comparison of MR and CT findings. Radiology 181:863–870

    CAS  PubMed  Google Scholar 

  14. Rothman D, Blumenthal HT (1959) Serous adenofibroma and cystadenofibroma of the ovary: report of five cases with malignant change in one. Obstet Gynecol 14:389–393

    CAS  Google Scholar 

  15. Jeong YY, Outwater EK, Kang HK (2000) Imaging evaluation of ovarian masses. Radiographics 20:1445–1470

    CAS  PubMed  Google Scholar 

  16. Atri M, Nazarnia S, Bret PM et al. (1994) Endovaginal sonographic appearance of benign ovarian masses. Radiographics 14:747–760

    CAS  PubMed  Google Scholar 

  17. Seven SK, Hricak H, Stern JL (1991) Ovarian lesions: detection and characterization with gadolinium-enhanced MR imaging at 1.5 T. Radiology 181:481–488

    CAS  PubMed  Google Scholar 

  18. Togashi K (1993) MRI of the female pelvis. Igaku-Shoin, Tokyo

  19. Ovadia J, Godlan G (1992) Ovarian masses in postmenopausal women. Int J Gynecol Obstet 39:35–39

    CAS  Google Scholar 

  20. Korbin CD, Brown DL, Welch WR (1998) Paraovarian cystadenomas and cystadenofibromas: sonographic characteristics in 14 cases. Radiology 208:459–462

    CAS  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations


Corresponding author

Correspondence to Jae Young Byun.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Cho, SM., Byun, J.Y., Rha, S.E. et al. CT and MRI findings of cystadenofibromas of the ovary. Eur Radiol 14, 798–804 (2004).

Download citation

  • Received:

  • Revised:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: