Skip to main content
Log in

Ovarian fibroma in a 7-month-old infant: a case report and review of the literature

  • Case Report
  • Published:
Pediatric Surgery International Aims and scope Submit manuscript

Abstract

Ovarian fibroma rarely occurs in prepubertal girls. We report an ovarian fibroma in a 7-month-old female infant presenting as a right abdominal mass. The tumour was composed of oval-to-spindle cells forming interlacing fascicles and intermingling with collagen fibres. Immunohistochemically, the tumour cells were weakly positive for estrogen receptor and progesterone receptor but negative for inhibin. To the best of our knowledge, this is the youngest case of ovarian fibroma up-to-date in the English literature. Because Gorlin’s syndrome was not present in the patient’s family, other factors such as germline or somatic mutations may predispose the occurrence of this ovarian fibroma in infancy.

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. 1
Fig. 2 a

Similar content being viewed by others

References

  1. Dockerty MB, Masson JC (1944) Ovarian fibromas: a clinical and pathologic study of two hundred and eighty-three cases. Am J Obstet Gynecol 47:741–752

    Google Scholar 

  2. Ehren IM, Mahour GH, Isaacs JH (1984) Benign and malignant ovarian tumours in children and adolescents: a review of 63 cases. Am J Surg 147:339–344

    Article  CAS  PubMed  Google Scholar 

  3. Johnson AD, Hebert A, Esterly NB (1986) Nevoid basal cell carcinoma syndrome: bilateral ovarian fibromas in a 31/2 -year-old girl. J Am Acad Dermatol 14:371–374

    CAS  PubMed  Google Scholar 

  4. Charache H (1959) Ovarian tumours in childhood. AMA Arch Surg 79:573–580

    CAS  PubMed  Google Scholar 

  5. Meigs JV (1954) Fibroma of the ovary with ascites and hydrothorax—Meigs’ syndrome. Am J Obstet Gynecol 67:962

    CAS  PubMed  Google Scholar 

  6. Gorlin RJ (1987) Nevoid basal-cell carcinoma syndrome. Medicine 66:98–113

    CAS  PubMed  Google Scholar 

  7. Gorlin RJ, Vickers RA, Kelln E, et al. (1965) The multiple basal cell nevi syndrome. Cancer 18:89–104

    CAS  PubMed  Google Scholar 

  8. Gailani MR, Bale S, Leffell DJ (1992) Developmental defects in Gorlin syndrome related to a putative tumour suppressor gene on chromosome 9. Cell 69:111–117

    Article  CAS  PubMed  Google Scholar 

  9. Bower J, Erickson ER (1967) Bilateral ovarian fibromas in a 5-year-old. Am J Obstet Gynecol 99:880–882

    CAS  PubMed  Google Scholar 

  10. Hahn H, Wicking C, Zaphiropoulos PG, et al. (1996) Mutations of the human homolog of Drosophila patched in the nevoid basal cell carcinoma syndrome. Cell 85:841–851

    Article  CAS  PubMed  Google Scholar 

  11. Johnson RL, Rothman AL, Xie J, et al. (1996) Human homolog of patched, a candidate gene for the basal cell nevus syndrome. Science 272:1668–1671

    CAS  PubMed  Google Scholar 

  12. Stone DM, Hynes M, Armanini M, et al. (1996) The tumour-suppressor gene patched encodes a candidate receptor for Sonic hedgehog. Nature 384:129–134

    Article  CAS  PubMed  Google Scholar 

  13. Hahn H, Wojnowski L, Miller G, et al. (1999) The patched signaling pathway in tumorigenesis and development: lessons from animal models. J Mol Med 77:459–468

    Article  CAS  PubMed  Google Scholar 

  14. Cohen MM, Jr (1999) Nevoid basal cell carcinoma syndrome: molecular biology and new hypotheses. Int J Oral Maxillofac Surg 28:216–223

    Article  PubMed  Google Scholar 

  15. Rater CJ, Selke AC, Van Epps EF (1968) Basal cell nevus syndrome. Am J Roentgenol 103:589–594

    CAS  Google Scholar 

  16. Junaid TA, Nkposong EO, Kolawole TM (1972) Cutaneous meningiomas and an ovarian fibroma in a three-year-old girl. J Pathol 108:165–167

    CAS  PubMed  Google Scholar 

  17. Dumont-Herskowitz RA, Safaii HS, Senior B (1978) Ovarian fibromata in four successive generations. J Pediatr 93:621–624

    CAS  PubMed  Google Scholar 

  18. Raggio M, Kaplan AL, Harberg JF (1983) Recurrent ovarian fibromas with basal cell nevus syndrome (Gorlin syndrome). Obstet Gynecol 61(suppl):95–96

    PubMed  Google Scholar 

  19. Howell CJ, Rogers DA, Gable DS (1990) Bilateral ovarian fibromas in children. J Pediatr Surg 25:690–691

    Article  PubMed  Google Scholar 

  20. Laufer L, Barki Y, Mordechai Y, et al. (1996) Ovarian fibroma in a prepubertal girl. Pediatr Radiol 26:40–42

    CAS  PubMed  Google Scholar 

  21. Young RH, Scully RE (1988) Ovarian sex cord-stromal tumours: problems in differential diagnosis. Pathol Ann 23:237–296

    Google Scholar 

  22. Amin HK, Okagaki T, Richart RM (1971) Classification of fibroma and thecoma of the ovary: an ultrastructural study. Cancer 27:438–446

    CAS  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Chao-Cheng Huang.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Chen, YJ., Hsieh, CS., Eng, HL. et al. Ovarian fibroma in a 7-month-old infant: a case report and review of the literature. Ped Surgery Int 20, 894–897 (2004). https://doi.org/10.1007/s00383-004-1284-6

Download citation

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00383-004-1284-6

Keywords

Navigation