Ovarian fibromatosis associated with large pedunculated fibroma in a 30-year-old woman: A rare coincidence or variant?
black garland sign
laparoscopic-assisted excision
magnetic resonance imaging
ovarian fibromatosis
pedunculated fibroma
Journal
The journal of obstetrics and gynaecology research
ISSN: 1447-0756
Titre abrégé: J Obstet Gynaecol Res
Pays: Australia
ID NLM: 9612761
Informations de publication
Date de publication:
15 Nov 2023
15 Nov 2023
Historique:
received:
02
08
2023
accepted:
06
11
2023
medline:
16
11
2023
pubmed:
16
11
2023
entrez:
16
11
2023
Statut:
aheadofprint
Résumé
A 30-year-old nulligravida was referred under suspicion of large subserosal myoma. T2-weighted magnetic resonance imaging revealed multilobulated solid mass in the left lower abdomen measuring 16 cm in longitudinal diameter. The ovarian surface was covered with a marked T2-hypointense thick rim called "black garland sign," forming multiple nodular masses ranging from 1 to 5 cm in diameter in some portions of the bilateral ovaries. By laparoscopic-assisted minilaparotomy, the stalk of pedunculated mass originating from the left ovarian hilum was excised, followed by carrying out of the body after in-bag morcellation using a surgical scalpel. Right ovarian exophytic nodular masses larger than 1 cm were excised using monopolar electrode needle. Pathological examination of excised right and left masses showed fibroblast-like spindle cell proliferation with collagenous stroma; however, differences between right and left masses cannot be distinguished on a histological level. Postoperative diagnosis was ovarian fibromatosis coexisting with large pedunculated fibroma.
Types de publication
Case Reports
Langues
eng
Sous-ensembles de citation
IM
Informations de copyright
© 2023 Japan Society of Obstetrics and Gynecology.
Références
Young RH, Scully RE. Fibromatosis and massive edema of the ovary, possibly related entities: a report of 14 cases of fibromatosis and 11 cases of massive edema. Int J Gynecol Pathol. 1984;3:153-178.
Diaz A, Yarmish G, Hayim M. The black garland sign in ovarian fibromatosis. Abdom Radiol (NY). 2018;43:1785-1786.
Bazot M, Salem C, Cortez A, Antoine JM, Daraï E. Imaging of ovarian fibromatosis. AJR Am J Roentgenol. 2003;180:1288-1290.
Onderoglu LS, Gültekin M, Dursun P, Karcaaltincaba M, Usubutun A, Akata D, et al. Bilateral ovarian fibromatosis presenting with ascites and hirsutism. Gynecol Oncol. 2004;94:223-225.
Montoriol PF, Bayol B. Ovarian fibromatosis: the “black garland” sign. Diagn Interv Imaging. 2020;101:259-260.
Takeuchi M, Matsuzaki K, Sano N, Furumoto H, Nishitani H. Ovarian fibromatosis: magnetic resonance imaging findings with pathologic correlation. J Comput Assist Tomogr. 2008;32:776-777.
Santos Urios M, García Espasa C, Concepción AL. Ovarian fibromatosis: “the black garland sign”. Radiologia (Engl Ed). 2022;64:164-168.
Takeda A, Watanabe K, Hayashi S, Imoto S, Nakamura H. In-bag manual extraction of excised myomas by surgical scalpel through suprapubic mini-laparotomic incision in laparoscopic-assisted myomectomy. J Minim Invasive Gynecol. 2016;23:731-738.
George V, Tammisetti VS, Surabhi VR, Shanbhogue AK. Chronic fibrosing conditions in abdominal imaging. Radiographics. 2013;33:1053-1080.
Sivanesaratnam V, Dutta R, Jayalakshmi P. Ovarian fibroma-clinical and histopathological characteristics. Int J Gynaecol Obstet. 1990;33:243-247.
Fedele L, Motta F, Frontino G, Pallotti F. Gorlin syndrome: two unusual cases of recurrent, bilateral, multinodular, calcified ovarian fibromas with conservative surgical treatment. J Minim Invasive Gynecol. 2012;19:248-251.
Hasegawa A, Koga K, Asada K, Wada-Hiraike O, Osuga Y, Kozuma S. Laparoscopic ovarian-sparing surgery for a young woman with an exophytic ovarian fibroma. J Obstet Gynaecol Res. 2013;39:1610-1613.