Malignant struma ovarii: from a perspective of thyroid surgery

VernacularTitle:甲状腺外科视角认识恶性卵巢甲状腺肿
Author: Hongcun CHEN ¹ ; Min LI ; Shengying WANG
Author Information

1. 安徽省合肥市第二人民医院广德路院区甲状腺乳腺外科　230000
Keywords: Struma ovarii; Malignant struma ovarii; Struma of ovary with malignant transformation; Germ cell tumor
From: Chinese Journal of Endocrine Surgery 2021;15(4):442-444
CountryChina
Language:Chinese
Abstract: Struma ovarii is a highly specialized form of monoderal ovarian teratoma, in which thyroid tissue has exceeded all other tissues or only thyroid tissue malignant struma ovarii is a very rare disease. Studies have confirmed that the pathogenesis is basically consistent with primary thyroid cancer. Preoperative diagnosis is difficult and the diagnosis should be based on postoperative paraffin pathology. It’s important to emphasize that the histologic malignance does not represent malignant ovarian behavior. Transabdominal hysterectomy+bilateral salpingo-oophorectomy has a better prognosis, and there are different opinions on the management of the mainstream thyroid. Most patients take active thyroid excision followed by chemotherapy and radiotherapy and 131I for postoperative follow-up in accordance with the principle of primary thyroid cancer.