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Kim, Jung, Shin, Kim, Kim, and Park: A case of borderline clear cell fibroadenoma
Case Report
Korean Journal of Obstetrics and Gynecology

Korean Journal of Obstetrics and Gynecology 2010; 53(8): 737-741.

Published online: 19 August 2010

DOI: https://doi.org/10.5468/kjog.2010.53.8.737

A case of borderline clear cell fibroadenoma

Su Ah Kim, M.D.1, Hee Jung Jung, M.D.1, Mi Sun Shin, M.D.1, Eun-na Kim, M.D.1, Hyo Jin Kim, M.D.2, Noh Hyun Park, M.D., Ph.D.1

1Department of Obstetrics and Gynecology, Seoul National University College of Medicine, Seoul, Korea.

2Department of Pathology, Seoul National University College of Medicine, Seoul, Korea.

Corresponding author (pnhkhr@snu.ac.kr)

Received 10 May 2010       Accepted 15 June 2010

Copyright © 2010 Korean Society of Obstetrics and Gynecology

Abstract

Clear cell tumor of borderline malignancy has been reported to account for 5 to 8% of all clear cell neoplasms, and <1% of borderline malignancies of the ovary. Borderline clear cell fibroadenoma with or without microinvasion mostly occurs in women with middle age, and the presenting symptoms associated with this tumor are non-specific. The clinico-pathologic features of borderline clear cell fibroadenoma are not well known because of its rarity. Furthermore, there is no consensus for treating the disease. Thus, we report a case of borderline clear cell fibroadenoma presenting as ovarian fibroadenoma with a review of literature.

Keywords: Borderline malignancy, Clear cell tumor, Fibroadenoma

Figures and Tables

Fig. 1
(A) Trans-abdominal ultrasonogram showed over 12 cm sized multi-septated solid cyst in pelvic cavity. (B) Magnetic resonance imaging showed 12 cm sized, well-marginated, multi-septated, huge mass including solid portion.
kjog-53-737-g001
Fig. 2
(A) The cut surface of ovarian cystic mass was solid and variable sized cysts in appearance and had minute cysts embedded in a firm stroma. (B) Clear cell adenofibroma of borderline malignancy showing widely spaced to focally crowded glands in abundant stromal component (H&E stain, ×100).
kjog-53-737-g002

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