Retroperitoneal Extraovarian Fibrothecoma Mimicking a Malign
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Introduction
Ovarian ectopia and neoplasms arising in them are extremely rare. To date, only two cases of extraovarian fibrothecoma have been reported. We report a third case of extraovarian fibrothecoma found in a patient with a presumed diagnosis of ovarian malignancy.

Clinical History
A 62-year-old woman presented with a five-month history of increasing abdominal distention, weight loss, and an abdominal mass. There were no associated gastrointestinal symptoms or vaginal bleeding. On examination, she had gross abdominal distention and shifting dullness, consistent with ascites. There was no associated tenderness. The bowel sounds were normal to auscultation. Pelvic examination revealed a firm nodular mass with minimal mobility.
Abdominal and pelvic ultrasound demonstrated a large 15?cm complex and predominantly solid mass with cystic changes in the left adnexa. The right ovary was not seen, and the endometrium was not visualized. A moderate amount of ascites was also noticed around the liver, spleen, and lower quadrants. Computed tomography (CT) also showed a large, mainly solid, complex mass in the lower abdomen/pelvis displacing the uterus to the right side with extensive ascites. There was some suspicion of nodularity on the omentum, suggesting metastatic disease. A CT scan of the chest did not show any evidence of a pleural effusion....

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3426186/
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