Benign ovarian neoplasms classified as stromal tumors
Fibroma is composed of fibroblastic cells within variably collagenous stroma
Thecoma is composed predominantly of cells resembling theca cells
IMAGING
General Features
CT Findings
MR Findings
Ultrasonographic Findings
Imaging Recommendations
DIFFERENTIAL DIAGNOSIS
PATHOLOGY
General Features
Gross Pathologic & Surgical Features
Microscopic Features
CLINICAL ISSUES
Presentation
Demographics
Natural History & Prognosis
Treatment
DIAGNOSTIC CHECKLIST
Consider
Image Interpretation Pearls
Selected References
Taylor EC et al: Multimodality imaging approach to ovarian neoplasms with pathologic correlation. Radiographics. 41(1):289-315, 2021
Chen H et al: Ovarian thecoma-fibroma groups: clinical and sonographic features with pathological comparison. J Ovarian Res. 9(1):81, 2016
Rambocas N et al: Gynecologic implications of Gorlin-Goltz syndrome. Int J Gynaecol Obstet. 123(2):166, 2013
Yen P et al: Ovarian fibromas and fibrothecomas: sonographic correlation with computed tomography and magnetic resonance imaging: a 5-year single-institution experience. J Ultrasound Med. 32(1):13-8, 2013
Zhang H et al: Value of 3.0 T diffusion-weighted imaging in discriminating thecoma and fibrothecoma from other adnexal solid masses. J Ovarian Res. 6(1):58, 2013
Khashper A et al: T2-hypointense adnexal lesions: an imaging algorithm. Radiographics. 32(4):1047-64, 2012
Li X et al: Imaging features and pathologic characteristics of ovarian thecoma. J Comput Assist Tomogr. 36(1):46-53, 2012
Shinagare AB et al: MRI features of ovarian fibroma and fibrothecoma with histopathologic correlation. AJR Am J Roentgenol. 198(3):W296-303, 2012
Wang S et al: Prediction of benignity of solid adnexal masses. Arch Gynecol Obstet. 285(3):721-6, 2012
Okajima Y et al: Intracellular lipid in ovarian thecomas detected by dual-echo chemical shift magnetic resonance imaging: report of 2 cases. J Comput Assist Tomogr. 34(2):223-5, 2010
Shanbhogue AK et al: Clinical syndromes associated with ovarian neoplasms: a comprehensive review. Radiographics. 30(4):903-19, 2010
Paladini D et al: Imaging in gynecological disease (5): clinical and ultrasound characteristics in fibroma and fibrothecoma of the ovary. Ultrasound Obstet Gynecol. 34(2):188-95, 2009
Tanaka YO et al: MR findings of ovarian tumors with hormonal activity, with emphasis on tumors other than sex cord-stromal tumors. Eur J Radiol. 62(3):317-27, 2007
Kawano Y et al: Magnetic resonance imaging findings in leiomyoma of the ovary: a case report. Arch Gynecol Obstet. 273(5):298-300, 2006
Jung SE et al: CT and MRI findings of sex cord-stromal tumor of the ovary. AJR Am J Roentgenol. 185(1):207-15, 2005
Takeshita T et al: Ovarian fibroma (fibrothecoma) with extensive cystic degeneration: unusual MR imaging findings in two cases. Radiat Med. 23(1):70-4, 2005
Yoshitake T et al: Bilateral ovarian leiomyomas: CT and MRI features. Abdom Imaging. 30(1):117-9, 2005
Chang SD et al: Limited-sequence magnetic resonance imaging in the evaluation of the ultrasonographically indeterminate pelvic mass. Can Assoc Radiol J. 55(2):87-95, 2004
Cho SM et al: CT and MRI findings of cystadenofibromas of the ovary. Eur Radiol. 14(5):798-804, 2004
Sala EJ et al: Magnetic resonance imaging of benign adnexal disease. Top Magn Reson Imaging. 14(4):305-27, 2003
Jung SE et al: CT and MR imaging of ovarian tumors with emphasis on differential diagnosis. Radiographics. 22(6):1305-25, 2002
Schwartz RK et al: Ovarian fibroma: findings by contrast-enhanced MRI. Abdom Imaging. 22(5):535-7, 1997
Troiano RN et al: Fibroma and fibrothecoma of the ovary: MR imaging findings. Radiology. 204(3):795-8, 1997
Related Anatomy
Loading...
Related Differential Diagnoses
Loading...
References
Tables
Tables
KEY FACTS
Terminology
Imaging
Top Differential Diagnoses
Pathology
Clinical Issues
TERMINOLOGY
Definitions
Benign ovarian neoplasms classified as stromal tumors
Fibroma is composed of fibroblastic cells within variably collagenous stroma
Thecoma is composed predominantly of cells resembling theca cells
IMAGING
General Features
CT Findings
MR Findings
Ultrasonographic Findings
Imaging Recommendations
DIFFERENTIAL DIAGNOSIS
PATHOLOGY
General Features
Gross Pathologic & Surgical Features
Microscopic Features
CLINICAL ISSUES
Presentation
Demographics
Natural History & Prognosis
Treatment
DIAGNOSTIC CHECKLIST
Consider
Image Interpretation Pearls
Selected References
Taylor EC et al: Multimodality imaging approach to ovarian neoplasms with pathologic correlation. Radiographics. 41(1):289-315, 2021
Chen H et al: Ovarian thecoma-fibroma groups: clinical and sonographic features with pathological comparison. J Ovarian Res. 9(1):81, 2016
Rambocas N et al: Gynecologic implications of Gorlin-Goltz syndrome. Int J Gynaecol Obstet. 123(2):166, 2013
Yen P et al: Ovarian fibromas and fibrothecomas: sonographic correlation with computed tomography and magnetic resonance imaging: a 5-year single-institution experience. J Ultrasound Med. 32(1):13-8, 2013
Zhang H et al: Value of 3.0 T diffusion-weighted imaging in discriminating thecoma and fibrothecoma from other adnexal solid masses. J Ovarian Res. 6(1):58, 2013
Khashper A et al: T2-hypointense adnexal lesions: an imaging algorithm. Radiographics. 32(4):1047-64, 2012
Li X et al: Imaging features and pathologic characteristics of ovarian thecoma. J Comput Assist Tomogr. 36(1):46-53, 2012
Shinagare AB et al: MRI features of ovarian fibroma and fibrothecoma with histopathologic correlation. AJR Am J Roentgenol. 198(3):W296-303, 2012
Wang S et al: Prediction of benignity of solid adnexal masses. Arch Gynecol Obstet. 285(3):721-6, 2012
Okajima Y et al: Intracellular lipid in ovarian thecomas detected by dual-echo chemical shift magnetic resonance imaging: report of 2 cases. J Comput Assist Tomogr. 34(2):223-5, 2010
Shanbhogue AK et al: Clinical syndromes associated with ovarian neoplasms: a comprehensive review. Radiographics. 30(4):903-19, 2010
Paladini D et al: Imaging in gynecological disease (5): clinical and ultrasound characteristics in fibroma and fibrothecoma of the ovary. Ultrasound Obstet Gynecol. 34(2):188-95, 2009
Tanaka YO et al: MR findings of ovarian tumors with hormonal activity, with emphasis on tumors other than sex cord-stromal tumors. Eur J Radiol. 62(3):317-27, 2007
Kawano Y et al: Magnetic resonance imaging findings in leiomyoma of the ovary: a case report. Arch Gynecol Obstet. 273(5):298-300, 2006
Jung SE et al: CT and MRI findings of sex cord-stromal tumor of the ovary. AJR Am J Roentgenol. 185(1):207-15, 2005
Takeshita T et al: Ovarian fibroma (fibrothecoma) with extensive cystic degeneration: unusual MR imaging findings in two cases. Radiat Med. 23(1):70-4, 2005
Yoshitake T et al: Bilateral ovarian leiomyomas: CT and MRI features. Abdom Imaging. 30(1):117-9, 2005
Chang SD et al: Limited-sequence magnetic resonance imaging in the evaluation of the ultrasonographically indeterminate pelvic mass. Can Assoc Radiol J. 55(2):87-95, 2004
Cho SM et al: CT and MRI findings of cystadenofibromas of the ovary. Eur Radiol. 14(5):798-804, 2004
Sala EJ et al: Magnetic resonance imaging of benign adnexal disease. Top Magn Reson Imaging. 14(4):305-27, 2003
Jung SE et al: CT and MR imaging of ovarian tumors with emphasis on differential diagnosis. Radiographics. 22(6):1305-25, 2002
Schwartz RK et al: Ovarian fibroma: findings by contrast-enhanced MRI. Abdom Imaging. 22(5):535-7, 1997
Troiano RN et al: Fibroma and fibrothecoma of the ovary: MR imaging findings. Radiology. 204(3):795-8, 1997
STATdx includes over 200,000 searchable images, including x-ray, CT, MR, and ultrasound images. To access all images, please log in or subscribe.