Ovarian fibroma occurs in 10% of cases (among all benign ovarian tumors). The surface of the tumor (usually small) is smooth, sometimes bumpy. Ovarian fibroma exceeds the size of the average male fist, develops more often in young women on the one hand. On a section, the tumor is whitish, usually without cavities, its tissues are swollen. Microscopically consists of connective tissue spindle-shaped cells that collect in fibers, which randomly intertwine in different directions. The tumor is poor in blood vessels, therefore, in its center there may be ischemic foci (necrobiosis, hemorrhage, hyaline degeneration, lime deposits), indicating the long-term existence of the tumor. The tumor is mobile, located on the stem, grows slowly.
Clinic of ovarian fibroma
Clinical symptoms usually occur with hemorrhages and necrobiosis, as well as with the torsion of the legs of the tumor. In these cases, symptoms of peritoneal irritation appear. In some cases (with bilateral damage), ovarian fibroma is accompanied by the Meigs triad (ascites – polyserositis, anemia, cachexia), which, as a rule, indicates malignant degeneration of the tumor.
Surgical treatment (removal of the affected ovary).
Corpus luteum cyst (luteal)
Distinguish a cyst of the corpus luteum outside pregnancy (from atresing follicles); corpus luteum cyst during pregnancy, cystic drift and chorionepithelium. Clinically little manifests itself. The corpus luteum cyst outside pregnancy is usually one-sided and contains red-yellow liquid. Yellow cyst capsule (theca-luteal layer). The inner layer of the capsule is lined with luteal cells of a yellow granular layer. A yellow cyst, being similar to a follicular cyst in volume and single-cavity structure, is macroscopically different from a follicular cyst. So, if the inner layer of the capsule of the follicular cyst is smooth, the yellow cyst is folded; the contents of the follicular cyst – the fluid is clear, colorless, yellow body cysts – red-yellow or coffee color; the follicular cyst is lined with a cylindrical or cubic epithelium from the inside, the cyst of the corpus luteum with luteal (granular) cells.
Diagnosis and treatment of luteal cysts
Diagnosis and treatment with a luteal cyst are the same as with a follicular cyst.
Luteal cyst during pregnancy, cystic drift and chorionepithelioma in most cases, bilateral, the size of an orange to the head of a newborn. This cyst develops rather quickly, its surface is smooth, the capsule is brown in color. The contents are liquid, in some cases thick, yellow or brown-red. The cyst resolves on its own in the second half of pregnancy, after removal of the cystic drift or cure of chorionepithelioma.
Recently, with cystic drift and chorionic epithelium, many authors have recommended cyst puncture with suction of the contents, which accelerates the process of reverse development of chorionepithelioma and cystic drift due to a sharp decrease in the production of chorionic gonadotropin.