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Fibromas are unilateral, spherical tumors composed of fibroblasts. Fibromas often occur in concurrence with ascites and hydrothorax in a condition called Meigs syndrome. Most tumors contain a thecoma component, made of plump spindle cells containing lipid droplets. These may be referred to as fibromathecomas. Patients may often present with a pulling sensation in the groin.
Non-germ cell tumor
Non-germy ovary

Fibromas are tumors composed of fibroblasts. Ovarian fibromas are either spherical or lobulated and are unilateral in 90% of cases.

Meigs Syndrome

Meigs syndrome is the presentation of ovarian fibroma, ascites, and hydrothorax.


Thecomas are tumors made of fat spindle cells containing lipid droplets. Most tumors contain a mixture of both spindle cells and fibroblasts and may be referred to as fibromathecomas.

Pulling sensation in groin
Pulling at the Groin

Patients with fibromas may present with sudden onset of sharp and typically unilateral abdominal pain, in addition to a pulling sensation in the groin.

Spindle-shaped fibroblasts
Spindle weaving Fiber-blast blanket

Spindle-shaped fibroblasts are seen upon histological examination.


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