Hemorrhagic infarction of fibroma

Abstract

We experienced a case of hemorrhagic infarction of the ovarian fibroma and that indicated the characteristic following appearance: exhibiting a high signal intensity area observed at the periphery of mass on T1-weighted MRI (magnetic resonance imaging). It was thought that this appearance developed because hemorrhagic infarction was caused by subacute ovarian torsion. This is a useful finding for suspecting hemorrhagic infarction preoperatively.

Usual and Unusual MRI Findings of Ovarian Fibroma: Correlation with Pathologic Findings

“…5 The MR imaging of ovarian bromas with hemorrhagic infarction of the torsion was reported in 2 cases (15 cm, 17 cm in size) and characterized by the appearance of high signal intensity at the periphery of the mass on T1-weighted images and heterogeneous low and high signal mixed intensity on T2-weighted images. 6,7 The MR imaging of ovarianˆbromas with myxomatous change was reported in 2 cases (10 cm, 11 cm in size) and characterized by the appearance of high signal intensity on T2-weighted images. The 4 unusual cases in our series were similar to those of these previous studies.…”

“…[1][2][3][4] Although typical magnetic resonance (MR) imagingˆndings of this tumor are well known, the preoperative diagnosis of large ovarianˆbromas is sometimes di‹cult because of various degenerative changes. [5][6][7][8] We present the broad spectrum of MR imagingˆndings of ovarian bromas and correlate them with histopathologiĉ ndings.…”

Ovarian fibroma with marked ascites and elevated serum levels of CA-125 in a young girl

“…Most ovarian fibromas appear as a solid mass [15]. Low flow on Doppler sonography and poor enhancement on dynamic and delayed computed tomography are suggestive of ovarian fibroma.…”