Giant Ovarian Fibrothecoma in a Postmenopausal Woman Mimicking Malignancy with Bilateral Hydronephrosis: A Case Report

Sex cord-stromal tumors (SCSTs) are rare ovarian neoplasms accounting for less than 5% of all ovarian tumors.This case report presents a 59-year-old postmenopausal woman with a giant ovarian fibro-thecoma presenting with abdominal pain, distention, pelvic heaviness, and mild hematuria.Radiological investigations revealed a large adnexal mass causing bilateral hydronephrosis.Surgical management included total hysterectomy with bilateral salpingeo-oophorectomy, and final pathology confirmed a benign fibro-thecoma.This case highlights diagnostic and therapeutic considerations in managing large ovarian SCSTs in postmenopausal women.