Laparoscopic excision of malignant struma ovarii and 1 year follow-up without further treatment

Kraemer, Bernhard; Grischke, Eva‐Maria; Staebler, Annette; Hirides, Petros; Rothmund, Ralf

doi:10.1016/j.fertnstert.2010.12.047

Cited by 26 publications

(41 citation statements)

References 26 publications

(44 reference statements)

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“…These patients should be evaluated for recurrent disease more frequently than the patients in whom complete ablation was succeeded [15]. It could be discussed that when postoperative MRI findings were absent, only thyroidectomy could be sufficient to safely follow-up patient [6]. We think that our patient's postoperative MRI findings have been due to rupture of left ovarian teratoma and cystic fluid irritation.…”

Section: Discussionmentioning

confidence: 90%

“…Three cases were reported previously who had ovarian teratoma in association with thyroid cancer and elevated CA-125 concentrations [5]. In addition to thyroid cancer, several pathologies involving thyroid have been reported in up to 8% of struma ovarii patients, such as Hashimoto's thyroiditis, Graves disease, toxic adenoma and clinical hyperthyroidism [6][7][8]. Rare cases of metastases have been reported [1,6].…”

Section: Introductionmentioning

confidence: 99%

“…Direct spread to the peritoneal cavity, omentum and contralateral ovary has been reported, but, in particular, for papillary thyroid cancer, metastasis to regional and paraaortic lymph nodes can be expected [6]. Thyroglobulin (Tg) concentrations, in particular, postablative-stimulated Tg concentrations, appears to be highly sensitive to predict recurrent disease [9].…”

Section: Introductionmentioning

confidence: 99%

“…Because this approach ablates all possible sources of Tg, whether ectopic or eutopic, it permits pathological evaluation of thyroid gland and improves diagnostic accuracy of postablative I-131 whole body scan (WBS) and stimulated Tg measurements, which help to detect residual or recurrent disease [6,10].…”

Section: Introductionmentioning

confidence: 99%

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Management and follow-up results of an incidental thyroid carcinoma in a young woman with ovarian teratoma

Üzüm¹,

Iyibozkurt²,

Canbaz³

et al. 2013

Gynecological Endocrinology

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Thyroid cancer in ovarian teratoma is reported to be rare and experiences are limited. A 26-year-old woman had undergone bilateral cystectomy and omentectomy for bilateral cystic adnexial masses. Pathological examination showed 1.5 cm follicular variant papillary thyroid carcinoma on the basis of unilateral mature cystic teratoma. Increased CA-125 and CA19-9 levels decreased to normal reference ranges after surgery, but postoperative magnetic resonance imaging indicated multiple abdominal cystic loci. After total thyroidectomy, high dose I-131 was administered to ablate thyroid tissue. Thereafter, levothyroxine was started to achieve subclinical hyperthyroidism. No iodine uptake was detected in post-therapeutic whole body scan (WBS) other than thyroid bed. This finding supported that tumor did not show dissemination to abdomen. No uptake on the first-year evaluation with low-dose I-131 WBS suggested the complete ablation of the thyroid gland. It is recommended that thyroid carcinoma arising from ectopic thyroid tissue in a teratoma should be managed as thyroid carcinoma in thyroid. However, direct dissemination to contiguous regions in abdomen and hematogenous dissemination to distant organs should be in mind. Radical surgery including total abdominal hysterectomy, bilateral salphingo-oopherectomy, pelvic and paraaortic lymph node excision and thyroidectomy is recommended. Fertility preserving surgery may be the surgical procedure as in the present case.

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Section: Discussionmentioning

confidence: 90%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Management and follow-up results of an incidental thyroid carcinoma in a young woman with ovarian teratoma

Üzüm¹,

Iyibozkurt²,

Canbaz³

et al. 2013

Gynecological Endocrinology

View full text Add to dashboard Cite

show abstract

“…Women with struma ovarii usually present with pain and/or a pelvic mass and less frequently with ascites. Clinical and biochemical features of hyperthyroidism are uncommon in women with struma ovarii, occurring in less than 5 to 8 percent of cases 4,[6][7][8][9] .…”

Section: Introductionmentioning

confidence: 99%

Struma Ovarii - A Case Report

Sarker¹,

Farooq²

2017

KYAMC j.

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Struma ovarii (literally: goitre of the ovary) is a rare form of monodermal teratoma that contains mostly thyroid tissue. The vast majority are benign tumours; however, malignant tumours of this type is found in a small percentage of cases. It is most common between the ages of 40 and 60 years and accounts for approximately 5 percent of all ovarian teratomas. Here we present a case of left sided struma ovarii. This patient is a 39 years' woman from Bhobanipur, Rajbari, Bangladesh. She noticed bleeding per vagina, abdominal swelling and left pelvic region mass for few months. Clinical & imaging examination revealed ascites and left ovarian neoplastic lesion. After excision biopsy, histopathological examination was performed. Microscopically, it shows ovarian tissue but predominantly composed of mature thyroid tissue which are diagnostic key feature of struma ovarii.KYAMC Journal Vol. 7, No.-1, Jul 2016, Page 734-735

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Struma ovarii with atypical features and synchronous primary thyroid cancer: a case report and review of the literature

Siegel

Wolsky

Alvarez

et al. 2019

Arch Gynecol Obstet

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Laparoscopic excision of malignant struma ovarii and 1 year follow-up without further treatment

Cited by 26 publications

References 26 publications

Management and follow-up results of an incidental thyroid carcinoma in a young woman with ovarian teratoma

Management and follow-up results of an incidental thyroid carcinoma in a young woman with ovarian teratoma

Struma Ovarii - A Case Report

Struma ovarii with atypical features and synchronous primary thyroid cancer: a case report and review of the literature

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