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Thecoma (n.)

1.(MeSH)A gonadal stromal neoplasm composed only of THECA CELLS, occurring mostly in the postmenopausal OVARY. It is filled with lipid-containing spindle cells and produces ESTROGENS that can lead to ENDOMETRIAL HYPERPLASIA; UTERINE HEMORRHAGE; or other malignancies in postmenopausal women and sexual precocity in girls. When tumors containing theca cells also contain FIBROBLASTS, they are identified as thecoma-fibroma tumors with less active hormone production.

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Thecoma

                   
Thecoma
Classification and external resources

High magnification micrograph of a thecoma. H&E stain.
ICD-9 220
ICD-O: 8600
MeSH D013798

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])

Sixty percent of patients present with abnormal uterine bleeding, and 20% have endometrial carcinoma.

  Pathologic features

  Low magnification micrograph of a thecoma showing compression of the ovarian cortex (right of image). H&E stain.

Grossly, the tumour is solid and yellow.

Grossly and microscopically, it compress of the ovarian cortex.

Microscopically, the tumour cells have abundant lipid-filled cytoplasm.

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