The ovarian cyst was a small physiological ovarian cyst that didn’t need follow-up, however, because of the lymphadenopathy, we were unsure of the lesion’s nature, whether it was benign or malignant, Since it is uncommon for a malignant tumor to grow to such proportions without being identified or exhibiting additional symptoms, and to assess the tumor and the lymph nodes, we carried out an excisional biopsy and we ruled out malignancy. Treatment for benign tumors includes surgical removal [2]. In our case, this operation was performed under lumbar anesthesia, the tumor pedicle was tied at its origin, and then an excisional biopsy of the mass was performed, followed by hemostasis of the wound site. Pathologically, fibroma is a hypocellular, will-defined mass composed primarily of mild spindle-shaped cells and interstitial collagen [11]. The pathological examination result in our case was a benign fibroma with stromal edema consisting of fibroblasts, inflammatory infiltration lymphocytes, and plasma cells on the surface (fig. 3).