Intraoperative Scrape Cytology: A Case of Ovarian Fibrothecoma

Fibrothecomas are sex-cord stromal tumors that have histologic appearances intermediate between fibromas and thecomas. The exact incidence of fibrothecoma is unknown, although they have been described as rare ovarian neoplasms. A 69 year old post menopausal female was presented with a huge left ovarian mass (17x15x8 cm). Intraoperative scrape smears were prepared from the ovarian mass. Smears showed mostly oval to spindle cells with scanty cytoplasm, finely granular chromatin and inconspicuous nucleoli alongwith few cells with plumper nuclei. A provisional diagnosis of fibrothecoma was proposed depending on the cytomorphological features. After surgical excision histopathological examination was performed that confirmed the diagnosis. We concluded that intra-operative scrape cytology can be a useful procedure for the diagnosis of ovarian neoplasms.