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Fibroma-Thecoma
Etiology

unknown
Pathogenesis

unknown,
Epidemiology

rare neoplasm
General Gross Description

smooth external surface
firm, tan white interior with interlacing bundles of fibers
very large neoplasms may have cystic spaces
•Examples:
Ovarian Fibrothecoma (External view) Ovarian Fibroma (composite view) Ovarian Fibroma (external view only) Ovarian Fibroma (internal view only) Ovarian Fibrothecoma (cut surface)
General Microscopic Description

bland, spindle cells resembling fibroblasts
some collagen production
occasional lipid laden thecal cells may be seen
•Examples:
Fibroma of Ovary (4X) Fibroma of Ovary (20X) Fibroma of Ovary (40X)
Clinical Correlation

reproductive age or perimenopausal
40% show associated ascites (Meig's syndrome) clinically similar to ovarian adenocarcinoma
ascites disappears with removal of the primary
may be associated with basal cell nevus syndrome
rare malignancy termed fibrosarcoma
References

Cotran RS, Kumar V, Robbins SL: Robbins Pathologic Basis of Disease. 5th ed. Philadelphia, W.B. Saunders, 1994, pp. 1075-6

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Fibroma-Thecoma
Synopsis by: Melinda Sanders M.D. (T87000M88100)[51]
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