Ovary fibroma

Ovary fibroma – a benign tumor of an ovary. In gynecology fibroma of an ovary meets approximately in 10% of cases from all benign tumors of an ovary. Sometimes, that fibroma arises even during puberty, but preferential women in the period of a premenopauza and a menopause, i.e. aged from 40 up to 60 years are subject to it.

Externally fibroma of an ovary represents round education with the knotty or plain surface reaching in sizes of 10-12 cm. If there are pseudo-cavities, then a fibroma consistence dense and elastic, at adjournment of salts of calcium fibroma firm, and at the expressed hypostasis – soft. Preferential ovary fibroma mobile and unilateral, has a leg. If to consider education on a cut, then it has white or grayish-white color, with a small amount of vessels. If the tumor at the woman is observed for a long time, then it can have hemorrhages, the centers of a necrosis and ischemia. Histologically fibroma consists of bunches of spindle-shaped connective tissue cells which intertwine in various directions.

Ovary fibroma forms

There are two forms of fibroma of an ovary:

• Delimited when the new growth has accurately expressed capsule that separates it from ovarian fabric;
• Diffusion when the ovary is affected completely.

Quite often fibromas of an ovary are edematous and contain cysts. As a rule, the tumor grows slowly, but at dystrophic changes its growth can significantly accelerate. A borderline case of fibroma strengthening of its mitotic activity with a low malignant potential is considered.

If fibroma has the small size, then, as a rule, it does not exert any impact on function of an ovary and does not prevent approach of pregnancy and safe incubation of the child. Cellular fibroma of an ovary can recur, especially if during surgical intervention its capsule was damaged. It is possible to carry a necrosis, leg torsion, a possibility of a malignancy and suppuration of a tumor to complications of a tumor.

Main reasons for development of fibroma of an ovary

It is difficult to establish the exact reasons of development of fibroma of an ovary, however it is authentically known that risk factor is the adverse hormonal background of the woman, including owing to endocrine disturbances (disturbance of reproductive and menstrual functions), various inflammations of ovaries and appendages (oophorites, adnexites), decline of immune forces of an organism.

Quite often fibroma of an ovary is combined with an oothecoma, a hysteromyoma therefore it is possible to speak about the general etiological factors of development of these diseases.

Ovary fibroma symptoms

If the fibroma size to 3 cm, and an ovary continues to function fully, then throughout a long time of symptoms of fibroma of an ovary can not be in general. In process of growth of education signs of a syndrome of Meygs (pleurisy, anemias, ascites) which are shown pains, periodic abdominal distentions, bystry fatigue and general weakness, an asthma, tachycardia begin to be observed.

Ascites is a frequent symptom of an oothecoma which arises at allocation from formation of transudate in an abdominal cavity. The hydrothorax arises owing to hit of ascitic liquid from an abdominal cavity in pleural through diaphragm cracks. Sometimes, that fibroma of an ovary is followed by a cachexia and a polyserositis (it is preferential at malignant regeneration of education). In many respects symptoms of fibroma of an ovary and disease severity depend on degree of a prelum of the next bodies liquid.

At hemorrhages and a necrosis in a tumor there are expressed symptoms of irritation of a peritoneum.

As a rule, at fibroma the menstrual cycle is not broken. If fibroma of an ovary is combined with other diseases of female generative organs, then those symptoms which are characteristic of other disease also can join symptoms of fibroma of an ovary.

Diagnosis of fibroma of an ovary

As fibroma throughout a long span can proceed asymptomatically, quite often it is found accidentally when carrying out inspection or operation for other disease.

The diagnosis fibroma of an ovary is made on the basis of survey of the gynecologist, clinical data, laboratory diagnosis (onkomarker of SA-125, NE 4, the general blood test), and also tool researches (KT of bodies of a small pelvis, MRT, ultrasonography). If necessary do also histologic research of fabric of a remote tumor.

Treatment of fibroma of an ovary

As a rule, drug (conservative) treatment of fibroma of an ovary is not carried out. The tumor needs to be deleted in the operational way. The nature of operation depends on the size of fibroma, age of the patient, a condition of a uterus and the second ovary, various pathologies internal bodies.

If the tumor is observed at the young woman and has the small size, then advantage in treatment of fibroma of an ovary is given to a laparoscopic oncotomy with preservation of generative and menstrual functions. To women of premenopauzalny age doctors recommend to carry out a full adnexectomy. If ovaries are affected from two parties, doctors try to keep a part of one of them.

Forecast of fibroma of an ovary and prevention of a disease

Preferential the forecast of fibroma of an ovary favorable, and probability of an ozlokachestvleniye of a tumor makes no more than 1%. After the termination of a course of rehabilitation of treatment the woman can plan pregnancy.

Specific ways of prevention of this disease do not exist. As precaution it is recommended to carry out ultrasonography of bodies of a small pelvis once a year and to visit the gynecologist.