Ovarian Fibroma in Young Female with Raised Serum Ca-125: A Unique Case Report

This paper reports a case of a 32 year, young female patient who presented with a large solid, whitish, smooth and bosselated, predominantly cystic ovarian mass with elevated CA-125 levels. Variable clinical, morphological and radiological features were more suggestive of malignant ovarian tumour. Therefore, laparotomy with frozen section was planned. Histopathological examination however revealed an ovarian fibroma with cystic change reinforcing the non specificity of CA-125 as a marker of ovarian malignancy and establishing the importance of frozen section and proper histopathological examination even in the most obvious of cases.