Abstract
Female patient, 87 years old, had been experiencing menopausal for 30 years and had no abnormal vaginal bleeding or discharge after menopause. The patient found a small amount of bright red blood on her underwear without obvious inducement, and she touched a mass at the vaginal orifice. Ultrasound examination showed that the endometrium was 15 mm, with obvious thickening and reticular pattern in the uterus and cervical canal and solid space-occupying lesion in the left adnexa area, 52 mm × 47 mm × 49 mm in size. Further examination was recommended. The outpatient clinic admitted her for “postmenopausal vaginal bleeding, endometrial thickening, anterior and posterior vaginal wall prolapse, and left adnexal mass.” She underwent transabdominal total hysterectomy and bilateral salpingo-oophorectomy. Postoperative pathological result: endometrial atypical hyperplasia, left ovarian thecoma.
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References
Horta M, Cunha TM. Sex cord-stromal tumors of the ovary: a comprehensive review and update for radiologists. Diagn Interv Radiol. 2015;21(4):277–86.
Shaaban AM. Diagnostic imaging: gynecology. Philadelphia, PA: Elsevier; 2015.
Zhang H, Zhang GF, Wang TP, Zhang H. Value of 3.0 T diffusion-weighted imaging in discriminating thecoma and fibrothecoma from other adnexal solid masses. J Ovarian Res. 2013;6(1):58.
Jung SE, Rha SE, Lee JM, Park SY, Oh SN, Cho KS, et al. CT and MRI findings of sex cord-stromal tumor of the ovary. Am J Roentgenol. 2005;185(1):207–15.
Shinagare AB, Meylaerts LJ, Laury AR, Mortele KJ. MRI features of ovarian fibroma and fibrothecoma with histopathologic correlation. Am J Roentgenol. 2012;198(3):W296–303.
Montoriol P-F, Mons A, Ines DD, Bourdel N, Tixier L, Garcier JM. Fibrous tumors of the ovary: aetiologies and MRI features. Clin Radiol. 2013;68(12):1276–83.
Chung BM, Park SB, Lee JB, Park HJ, Kim YS, Oh YJ. Magnetic resonance imaging features of ovarian fibroma, fibrothecoma, and thecoma. Abdom Imaging. 2015;40(5):1263–72.
Ma F, Qiang J, Cai S, Zhao S, Zhang G, Rao Y. MR spectroscopy for differentiating benign from malignant solid adnexal tumors. Am J Roentgenol. 2015;204(6):W724–30.
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Zhao, S. (2023). Ovarian Thecoma. In: Zhang, G. (eds) MRI of Gynaecological Diseases. Springer, Singapore. https://doi.org/10.1007/978-981-99-3644-1_17
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