Thecoma
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Thecoma | |
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High magnification micrograph of a thecoma. H&E stain. | |
Specialty | Oncology |
Thecomas or theca cell tumors are benign ovarian neoplasms composed only of theca cells. Histogenetically they are classified as sex cord-stromal tumours. They are typically estrogen-producing and they occur in older women (mean age 59; 84% after menopause). (They can, however, appear before menopause.[1]) 60% of patients present with abnormal uterine bleeding, and 20% have endometrial carcinoma.
Pathologic features

Grossly, the tumour is solid and yellow. Grossly and microscopically, it consists of the ovarian cortex. Microscopically, the tumour cells have abundant lipid-filled cytoplasm.