Struma ovarii and the thyroid surgeon

Gunasekaran, S.; Kopecka, E.; Maung, K H; England, Ruth

doi:10.1017/s0022215112000904

Cited by 11 publications

(10 citation statements)

References 7 publications

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“…Total tiroidektomi hem tiroglobulin takibine hem de radyoaktif iyot tedavisi verilmesine olanak sağlamaktadır (7). Bu yaklaşımın yanı sıra kapsül ve over invazyonu olmayan, gebelik planlayan, düşük riskli hastalarda sadece salfingo-ooforektominin yeterli olabileceği düşünülmektedir (13,14). Bu sayede tiroidektominin komplikasyonlarından kaçınmak mümkündür.…”

Section: Discussionunclassified

Struma Ovarii Dokusunda Papiller Tiroid Mikrokarsinomu: Olgu Sunumu

Kıraç¹,

Baldane²,

İpekçi³

et al. 2017

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ÖzetStruma ovarii, tümör dokusunun yarısından fazlasını tiroid dokusunun oluşturduğu nadir görülen bir over tümörüdür. Çalışmalarda hastalığın %0.5-5 oranında malign transformasyonu saptanmıştır. Nadir görülen bir hastalık olmasından dolayı tanı ve tedavisinde kesin bir görüş birliği yoktur ve genel kabul edilen yaklaşım malign struma ovarii vakalarının tiroid kanseri gibi tedavi ve takip edilmesidir. Bu olgu sunumunda struma ovarii zemininde gelişen bir papiller mikrokarsinom vakasının tedavisi ve 1 yıllık takibini sunmayı amaçladık. AbstractStruma ovarii is an uncommon ovarian neoplasm that more than half of itself is made up of thyroid tissue. In clinical trials about the disease, malign transformation has been detected at the rate of 0.5-5 percent. Because of the disease's rareness, there is no absolute agreement about diagnosis and treatment of the disease and general approach is that malign struma ovarii case is treated and followed up just like done in thyroid cancers. In this case report, it is aimed to represent the treatment and 1-year follow up of papillary microcarcinoma case which evolves with struma ovarii.

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Section: Discussionunclassified

Struma Ovarii Dokusunda Papiller Tiroid Mikrokarsinomu: Olgu Sunumu

Kıraç¹,

Baldane²,

İpekçi³

et al. 2017

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“…Gynecologic surgical options vary from cystectomy, unilateral or bilateral salpingo-oophorectomy, with or without a total hysterectomy depending on concern for metastasis or high grade malignancy. Management of suspicious thyroid nodules in these patients is also variable, and ranges from regular follow-up with ultrasound and thyroglobulin levels to total thyroidectomy with or without radioiodine ablation therapy postoperatively (10,11).…”

Section: Discussionmentioning

confidence: 99%

“…Surgical options include a fertility-conserving approach or radical bilateral salpingo-oophorectomy (9). Some physicians elect for a more aggressive approach with a radical total hysterectomy and bilateral or unilateral salpingo-oophorectomy (10,11). For benign unilateral disease, unilateral oophorectomy is the most common treatment of choice (8).…”

Section: Introductionmentioning

confidence: 99%

Management dilemma of thyroid nodules in patients with malignant struma ovarii

Sternlieb¹,

Satija²,

Pointer³

et al. 2016

Gland Surg.

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Struma ovarii is a rare type of ovarian teratoma comprised of at least 50% thyroid tissue. While most are benign, 70% of malignant cases are diagnosed as papillary carcinoma. Management of patients with thyroid nodules following gynecologic surgery remains controversial and variable. Historically, the treatment of choice has been surgical removal to rule out ovarian carcinoma. Thyroid follow-up and further treatment options are guided by tumor characteristics. The patient in this case presented to the endocrine surgeon with multiple thyroid nodules, dysphagia and a history of struma ovarii that was surgically treated at an outside hospital. Fine needle aspiration demonstrated benign histology. However, due to compressive symptoms and uncertainty of other nodules, the patient underwent a total thyroidectomy. Due to limited published data and treatment guidelines regarding thyroid nodules in patients with a history of malignant struma ovarii, surgery was recommended to rule out papillary thyroid carcinoma and relieve the patient's dysphagia. More research focused on treatment and outcomes of struma ovarii patients with thyroid nodules is essential to establish treatment guidelines for these patients.

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“…It is not known whether total thyroidectomy and radioactive iodine treatment is needed in addition to optimal surgical procedure (unilateral or bilateral salpingo-oophorectomy with/without hysterectomy). Treatment options depend on cases or case series (6,7,8). Decision of thyroidectomy and radioactive iodine treatment is based upon the extent of ovarian disease and existence of metastasis.…”

Section: Discussionmentioning

confidence: 99%

“…It is individually considered for each patient, whether total thyroidectomy and radioactive iodine treatment is necessary to be added to optimal surgical procedure (unilateral or bilateral salpingo-oophorectomy with/without hysterectomy). Treatment options are based on case series (6,7,8). In this paper, we present a patient who had pelvic pain and underwent total abdominal hysterectomy and bilateral salpingo-Struma ovarii, which is classified as benign or malignant, is a mature ovarian teratoma consisting mainly of the thyroid tissue.…”

Section: Introductionmentioning

confidence: 99%