Amel Elayadi M A Salem, Nahla Rashad Hemdan Abdelrahman, Marwa Alboughdadi, Wael Hosni
Anatolian Journal of Obstetrics and Gynecology Research - 2025;2(2):90-93
Sex cord-stromal tumors (SCSTs) are rare ovarian neoplasms accounting for less than 5% of all ovarian tumors. This case report presents a 59-year-old postmenopausal woman with a giant ovarian fibro-thecoma presenting with abdominal pain, distention, pelvic heaviness, and mild hematuria. Radiological investigations revealed a large adnexal mass causing bilateral hydronephrosis. Surgical management included total hysterectomy with bilateral salpingeo-oophorectomy, and final pathology confirmed a benign fibro-thecoma. This case highlights diagnostic and therapeutic considerations in managing large ovarian SCSTs in postmenopausal women.
