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Journal of Case Reports
Multiple Fibrothecomas of Bilateral Ovaries: An Unusual yet Important Etiology of Multiple T2-Shortening Adnexal Lesions on MRI

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Takaaki Nakashima1, Tsuyoshi Tajima1, Tomoyuki Noguchi1, Toshifumi Masuda1, Takashi Okafuji1, Kanako Murakami1, Yusuke Manabe1, Tetsu Yano2
Departments of Diagnostic Radiology1 and Obstetrics and Gynecology2, National Center for Global Health and Medicine, 1-21-1 Toyama, Shinjuku-ku, 162-8655, Tokyo, Japan.
Corresponding Author:
Dr. Tsuyoshi Tajima
Email: ttajima@hosp.ncgm.go.jp
Received: 17-OCT-2015 Accepted: 14-DEC-2015 Published Online: 15-JAN-2016
DOI: http://dx.doi.org/10.17659/01.2016.0006
Abstract
Fibroma or fibrothecoma (F/FT) commonly represents solid ovarian tumors and typically T2-shortening lesions on MRI, which can mimic uterine leiomyomas, Krukenberg tumors, and so on. Because most cases of F/FT are unilateral and single, bilateral and multiple localization is rare. Bilateral and multiple F/FTs can be misdiagnosed on imaging because a Krukenberg tumor often shows bilateral hypointense tumors on T2-weighted images, as do F/FTs. It is important to diagnose multiple T2-shortening lesions of bilateral ovaries precisely in order to avoid misdiagnosis and more invasive treatment. Herein we report a case of multiple FTs of bilateral ovaries preoperatively diagnosed by MRI. 
Keywords : Fibroma, Krukenberg Tumor, Leiomyoma, Ovarian Neoplasms, Thecoma.
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