Fibrothecoma of Ovary

Ovarian fibrothecomas represent an ovarian stromal neoplasm developing in a wide spectrum of clinical settings. Fibrothecomas have been described as rare neoplasms. The clinical presentation of ovarian fibrothecoma is relatively nonspecific such as pelvic and abdominal pain or distension; however, ovarian fibromas may be accompanied by two associations. The first is called Meig’s syndrome (ovarian fibroma, hydrothorax and ascites). The second association is with basal cell nevus syndrome (bilateral ovarian fibromas, multiple basal cell carcinoma of skin, odontogenic keratocysts, etc.). Here we present an unusual clinical manifestation of ovarian fibrothecoma in a young female who presented with massive abdominal distension and significant weight loss in a duration of one month. Due to these clinical features, it has to be differentiated from massive edema of ovary, sclerosing tumor of ovary and any other ovarian or abdomino-pelvic malignancie