Cystadenofibroma of Ovary- A Rare Cause of Postmenopausal Bleeding

Postmenopausal bleeding may be a presenting complaint for genital tract malignancy. Benign uterine causes predominate while endometrial cancer contributes 10% of symptomatic cases. Extra-uterine causes are rare and include carcinoma cervix or hormone secreting tumours of the ovary. We report a case...

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Main Authors: Tanuja Muthyala, Sujata Siwatch, Shalini Gainder, Minakshi Rohilla, Vanita Jain, Parikshaa Gupta
Format: Article
Language:English
Published: JCDR Research and Publications Private Limited 2019-10-01
Series:Journal of Clinical and Diagnostic Research
Subjects:
Online Access:https://jcdr.net/articles/PDF/13191/42399_CE[Ra1]_F(SHU)_PF1(AG_KM)_PFA(KM)_PB(AG_KM)_PN(SL).pdf
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spelling doaj-90012b4523374e81b5870e6e5707c3d42020-11-25T01:29:03ZengJCDR Research and Publications Private LimitedJournal of Clinical and Diagnostic Research2249-782X0973-709X2019-10-011310QD01QD0210.7860/JCDR/2019/42399.13191Cystadenofibroma of Ovary- A Rare Cause of Postmenopausal BleedingTanuja Muthyala0Sujata Siwatch1Shalini Gainder2Minakshi Rohilla3Vanita Jain4Parikshaa Gupta5Ex-Senior Resident, Department of Obstetrics and Gynaecology, PGIMER, Chandigarh, India.Assistant Professor, Department of Obstetrics and Gynaecology, PGIMER, Chandigarh, India.Additional Professor, Department of Obstetrics and Gynaecology, PGIMER, Chandigarh, India.Professor, Department of Obstetrics and Gynaecology, PGIMER, Chandigarh, India.Professor, Department of Obstetrics and Gynaecology, PGIMER, Chandigarh, India.Assistant Professor, Department of Cytology and Gynaecological Pathology, PGIMER, Chandigarh, India.Postmenopausal bleeding may be a presenting complaint for genital tract malignancy. Benign uterine causes predominate while endometrial cancer contributes 10% of symptomatic cases. Extra-uterine causes are rare and include carcinoma cervix or hormone secreting tumours of the ovary. We report a case of 50-year-old postmenopausal lady that presented with postmenopausal bleeding. On evaluation, she was found to have a complex adnexal mass, normal ovarian tumour markers and endometrial histology was normal on biopsy. She underwent exploratory laparotomy and total abdominal hysterectomy with bilateral salpingooophorectomy. The postoperative diagnosis was cystadenofibroma of ovary. We reported this case because of its rare incidence and varied symptomatology and presentation on imaging. One should consider diagnosis of a cystadenofibroma of ovary when a postmenopausal lady presents with a triad of an adnexal mass, postmenopausal bleeding with normal endometrial evaluation.https://jcdr.net/articles/PDF/13191/42399_CE[Ra1]_F(SHU)_PF1(AG_KM)_PFA(KM)_PB(AG_KM)_PN(SL).pdfadnexal massbleeding per vaginamovarian neoplasm
collection DOAJ
language English
format Article
sources DOAJ
author Tanuja Muthyala
Sujata Siwatch
Shalini Gainder
Minakshi Rohilla
Vanita Jain
Parikshaa Gupta
spellingShingle Tanuja Muthyala
Sujata Siwatch
Shalini Gainder
Minakshi Rohilla
Vanita Jain
Parikshaa Gupta
Cystadenofibroma of Ovary- A Rare Cause of Postmenopausal Bleeding
Journal of Clinical and Diagnostic Research
adnexal mass
bleeding per vaginam
ovarian neoplasm
author_facet Tanuja Muthyala
Sujata Siwatch
Shalini Gainder
Minakshi Rohilla
Vanita Jain
Parikshaa Gupta
author_sort Tanuja Muthyala
title Cystadenofibroma of Ovary- A Rare Cause of Postmenopausal Bleeding
title_short Cystadenofibroma of Ovary- A Rare Cause of Postmenopausal Bleeding
title_full Cystadenofibroma of Ovary- A Rare Cause of Postmenopausal Bleeding
title_fullStr Cystadenofibroma of Ovary- A Rare Cause of Postmenopausal Bleeding
title_full_unstemmed Cystadenofibroma of Ovary- A Rare Cause of Postmenopausal Bleeding
title_sort cystadenofibroma of ovary- a rare cause of postmenopausal bleeding
publisher JCDR Research and Publications Private Limited
series Journal of Clinical and Diagnostic Research
issn 2249-782X
0973-709X
publishDate 2019-10-01
description Postmenopausal bleeding may be a presenting complaint for genital tract malignancy. Benign uterine causes predominate while endometrial cancer contributes 10% of symptomatic cases. Extra-uterine causes are rare and include carcinoma cervix or hormone secreting tumours of the ovary. We report a case of 50-year-old postmenopausal lady that presented with postmenopausal bleeding. On evaluation, she was found to have a complex adnexal mass, normal ovarian tumour markers and endometrial histology was normal on biopsy. She underwent exploratory laparotomy and total abdominal hysterectomy with bilateral salpingooophorectomy. The postoperative diagnosis was cystadenofibroma of ovary. We reported this case because of its rare incidence and varied symptomatology and presentation on imaging. One should consider diagnosis of a cystadenofibroma of ovary when a postmenopausal lady presents with a triad of an adnexal mass, postmenopausal bleeding with normal endometrial evaluation.
topic adnexal mass
bleeding per vaginam
ovarian neoplasm
url https://jcdr.net/articles/PDF/13191/42399_CE[Ra1]_F(SHU)_PF1(AG_KM)_PFA(KM)_PB(AG_KM)_PN(SL).pdf
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AT shalinigainder cystadenofibromaofovaryararecauseofpostmenopausalbleeding
AT minakshirohilla cystadenofibromaofovaryararecauseofpostmenopausalbleeding
AT vanitajain cystadenofibromaofovaryararecauseofpostmenopausalbleeding
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