Sex cord-stromal tumors ovary constitute 8% of ovarian tumors, fibroma being the commonest which accounts for 4% of all ovarian tumors. Its uncommon benign tumor of ovary and the one with focal proliferation of sexcord elements <10% is designated as fibroma with minor sex cord elements. These tumors occur at all ages with a peak in the perimenopausal age. So clinical manifestation in a hyper oestrogenic state in a postmenopausal female should raise suspicion of this entity. Large sizes may be associated with Meig’s syndrome. Here in we report this case of ovarian fibroma clinically suspected as malignancy with unusual histological features like presence of sex cord elements and focal increased cellularity.
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