Fibromas of Ovary

Ovarian fibroma is a rare type of tumor arising from the ovary. Generally they are benign (non-cancerous) type. They are commonly found in women who are around 50 years old.

What are the causes?

Exact cause for developing fibromas is unknown.

What are common symptoms of ovarian fibroma?
  • When they are small, they will not cause any symptoms.
  • When they are big in size, they can cause pain in lower tummy, discomfort on and off or throughout the day
  • You can have acute onset of sever pain and vomiting if this tumor twists on its own (torsion)
  • Sometimes this tumor will irritate the inner lining of your tummy and you can have fluid filled in your tummy and lungs, this is known as Meigs Syndrome, if this happens you can have bloating sensation and tummy becoming big.
What test will be required for diagnosis?
  • Physical examination by your doctor
  • Ultrasound scan
  • Ct / MRI scan may be required
What are the treatment options available?
  • If they are small and not causing any problem, then your doctor will advise to wait and watch, you may be advised to repeat ultrasound scan after some months
  • If they are big and causing pain and discomfort, then you will be advised surgery to remove the tumor. Depending on you age you may be advised to remove only the tumor and retain the ovary or remove the whole ovary containing the tumor or you may be advised to remove whole uterus with cervix and both ovaries and fallopian tubes (THBSO). This can be done by both open surgery and through keyhole surgery.
  • Keyhole surgery when possible should be the first choice. Advantages of having keyhole surgery are that you are going to have smaller cuts, faster recovery, less pain, early discharge from hospital and early return to daily activities.