PDF(Pubmed)
Abstract：
Ovarian serous cystadenofibroma (CAF) is a relatively uncommon variant of benign epithelial tumors of the ovary. It is frequently misdiagnosed as malignant ovarian mass, on both ultrasound (USG) and computed tomography (CT). Although most cases are easily treatable by surgery, some cases can present with life-threatening complications increasing patient morbidity and mortality. The present case report briefs about a 69-year-old female, P4 L4, who presented to the gynecology outpatient department with a complaint of pain in the lower abdomen for 2-3 months. USG and CT were suggestive of a suspicious-looking ovarian mass favoring malignancy. A staging laparotomy with pelvic and para-aortic lymphadenectomy with omental biopsy was done. Although the tumor was benign, extensive surgery, due to the suspicion of malignancy led to the patient developing early postoperative small bowel obstruction, mandating a re-exploration. CAF is a specific type of ovarian tumor that exhibits a combination of benign characteristics. This tumor presents as a partly cystic (containing fluid-filled sacs) and partly solid (composed of fibrous tissue) growth within the ovary, displaying a diverse architectural pattern. Mostly the diagnosis is incidental, on USG done for some other indication. CAF of the ovary needs a very high index of suspicion for diagnosis as these are frequently misdiagnosed as malignant ovarian masses. Although an innocent tumor, extensive surgery done for CAF, under suspicion for malignancy, can sometimes lead to serious complications.
摘要：
卵巢浆液性囊腺纤维瘤（CAF）是卵巢良性上皮性肿瘤的一种相对罕见的变体。常误诊为卵巢恶性肿块，超声（USG）和计算机断层扫描（CT）。虽然大多数病例很容易通过手术治疗，一些病例可能出现危及生命的并发症,增加患者的发病率和死亡率.本案报告简介一名69岁女性，P4L4，因下腹部疼痛2-3个月到妇科门诊部就诊。USG和CT提示可疑的卵巢肿块有利于恶性肿瘤。进行了分期剖腹手术，盆腔和主动脉旁淋巴结清扫术，并进行了网膜活检。虽然肿瘤是良性的,广泛的手术,由于怀疑恶性肿瘤导致患者术后早期发展为小肠梗阻，强制重新探索。CAF是一种特定类型的卵巢肿瘤，表现出良性特征的组合。该肿瘤表现为卵巢内部分囊性（包含充满液体的囊）和部分固体（由纤维组织组成）生长，展示了多样化的建筑模式。大多数诊断是偶然的，在USG上做了一些其他的适应症。卵巢的CAF需要非常高的怀疑指数来诊断，因为这些经常被误诊为恶性卵巢肿块。虽然是个无辜的肿瘤,为CAF做了大量手术，怀疑是恶性肿瘤,有时会导致严重的并发症。
