Malignant Struma Ovarii: A Case Report.
10.3346/jkms.2010.25.2.327
- Author:
Gulseren YUCESOY
1
;
Yigit CAKIROGLU
;
Bahar MUEZZINOGLU
;
Birsen BESNILI
;
Izzet YUCESOY
Author Information
1. Department of Obstetrics and Gynecology, Kocaeli University, School of Medicine, Kocaeli, Turkey. gulserene@superonline.com
- Publication Type:Case Reports
- Keywords:
Struma Ovarii;
Thyroglobulin;
Whole Body Imaging
- MeSH:
Adult;
Female;
Humans;
Hysterectomy;
Ovarian Neoplasms/*diagnosis/pathology/ultrasonography;
Ovariectomy;
Struma Ovarii/*diagnosis/pathology/secondary;
Thyroglobulin/metabolism
- From:Journal of Korean Medical Science
2010;25(2):327-329
- CountryRepublic of Korea
- Language:English
-
Abstract:
We present a case of a 40-yr-old woman diagnosed with a primary malignant struma ovarii. The patient was admitted with the complaint of pelvic pain and a large pelvic mass in the mid-portion of lower abdomen on gynecological examination. Pre-operative tumor markers and routine biochemistry were unremarkable. She was treated with total abdominal hysterectomy and right salpingo-oopherectomy. Post-operatively, she was diagnosed with a malignant struma ovarii through the usage of histopathological criteria similar to the guidelines for primary thyroid gland disease. The patient was subsequently performed left salpingo-oopherectomy and retroperitoneal pelvic lympadenectomy for re-staging. Although, left ovary and lymph nodes were histopathologically normal, she was offered thyroidectomy but she refused to accept the offer. Thyroglobulin level was monitored in the post-operative period. She is free of the disease for 18 months.
