Ovarian fibromathosis - a rare bilateral disorder

Abstract

Ovarian fibromathosis is a benign rare disorder that affects young women and is characterized microscopically by spindle cel proliferation and abundant collagen matrix. It may present similar clinical and radiological findings as other neoplasms. Clinical presentations may include abdominal pain, menstrual irregularity and possibly hirsutism and virilization. Magnetic resonance will show a hypointense signal on T1 and T2 weighted images and the black wreath sign. Once the diagnosis is established, conservative treatment with the objective of preserving fertility and ovarian function should be preferred.