struma ovarii thyroid

It is defined by the presence of thyroid tissue comprising more than 50% of the overall mass. Defined as a tumor of ovarian origin, struma ovarii occurs exclusively in genetic females. [ 18 ] … The most common thyroid-type malignancies to arise in struma ovarii are papillary and follicular carcinomas. 2003 Jun. Llueca A, Maazouzi Y, Herraiz JL, Medina MC, Piquer D, Segarra B, et al. It is most often unilateral. The most common thyroid-type malignancies to arise in struma ovarii are papillary and follicular carcinomas. The incidence of malignancy arising in patients with struma ovarii is rare. Thyroid tissue must comprise more than 50 percent of the overall tissue to be classified as a struma ovarii. "figures": false It represents about 0.01% of overall ovarian tumours and 5 to 10% of struma ovarii. Struma ovarii: CT findings. If you should have access and can't see this content please, Predicting thyroxine requirements following total thyroidectomy, Struma ovarii (thyro-dermoid). 2003 Sep. 28 (9):725-7. The first case involved a 40-year-old woman with a two-month history of swelling in the lower abdomen. /viewarticle/925370 Pathology of Struma Ovarii: A Report of 96 Cases. Figure3: Struma ovarii thyroglobulin (high power) Thyroid follicles show strong staining for thyroglobulin. Struma ovarii is a variant of a germ cell tumor composed predominantly of thyroid tissue. Wei S, Baloch ZW, LiVolsi VA. Close this message to accept cookies or find out how to manage your cookie settings. [Medline]. 279(5):753-7. [Medline]. [Medline]. [Medline]. It … 2002 Struma ovarii is an uncommon type of ovarian mature teratoma with a predominant thyroid component. Query parameters: { Struma ovarii is a rare ovarian tumor that was first described in 1899. The term is from the Latin gutturia, meaning throat. To present a case of struma ovarii with a typical features and synchronous primary thyroid carcinoma and review the available literature to guide diagnosis and management of these tumors. 89(3):543-8. View all Google Scholar citations Struma ovarii accounts for approximately 5 percent of all ovarian teratomas . and Wu M, Hu F, Huang X, Tan Z, Lei C, Duan D. Extensive peritoneal implant metastases of malignant struma ovarii treated by thyroidectomy and 131I therapy: A case report. Barengolts, Elena Struma ovarii is an uncommon condition, in which thyroid tissue is the predominant or exclusive element in an ovarian teratoma. The malignant form is extremely rare and consists of differentiated thyroid cancer. The patient exhibited menstrual disorders. Struma ovarii means ovarian goiter which originates from a Keywords: Struma ovarii, papillary thyroid carcinoma, malignant struma ovarii Introduction The monodermal teratoma struma ovarii (SO) was originally described by Bottlin in 1888 as dence in the fifth decade. The simultaneous presence of thyroid carcinoma in the struma ovarii and the thyroid gland is extremely rare. Michel E Rivlin, MD is a member of the following medical societies: American College of Obstetricians and Gynecologists, American Medical Association, Mississippi State Medical Association, Royal College of Surgeons of Edinburgh, Royal College of Obstetricians and GynaecologistsDisclosure: Nothing to disclose. We present a case of hyperthyroidism caused by thyroid tissue in a large ovarian cystic teratoma and provide detailed endocrinological, radiological, and pathological preoperative and postoperative data. Worldwide, over 90% of goitre cases are caused by iodine deficiency. Struma ovarii is diagnosed when thyroid tissue comprises more than 50 % of the teratoma [4, 5]. The malignant form is extremely rare and consists of differentiated thyroid cancer. Department of Otolaryngology/Head and Neck and Thyroid Surgery, Castle Hill Hospital, Hull and East Yorkshire Hospitals NHS Trust, Cottingham, UK, https://doi.org/10.1017/S0022215112000904. The immense majority are benign, and ~5% are malignant [ 1 ]. Symptoms of hyperthyroidism diminished after the surgery, and the thyroid hormone levels and antithyroid antibodies were in the normal range in 1 month. Le struma ovarii malin de type carcinome folliculaire est rare, seule l'analyse immunohistochimique permet d’en affirmer la nature. [Medline]. 275(3):179-82. Thyroid tissue may be also found in the peritoneal cavity as in benign strumosis. Struma Ovarii with a focus of papillary thyroid cancer: a case report and review of the literature. 2012 Feb. 136(2):172-8. 2017. Gynecol Oncol. Papillary thyroid carcinoma (PTC) arising in a coexistent struma ovarii (SO) is a rare malignancy. Struma ovarii is a teratoma of the ovaries that contains a large amount of thyroid tissue. Due to difficulties in assessing the rare biological nature and the discrepancies in the reported cases, a consensus on the appropriate treatment has not been definitively reached. Struma ovarii has elicited considerable interest because of its many unique features since Ludwig Pick first elucidated its relationship to teratoma in the early part of the 20th century. All these signs are nonspecific and overlap with those caused by an ovarian malignancy. Feature Flags: { Is Population Testing for Hereditary Breast and Ovarian Cancer Worthwhile? Arch Gynecol Obstet. The common presentation is abdominal, with pelvic mass and pain, traditionally managed by gynaecologists. "crossMark": true, [Medline]. 2009 May. "relatedCommentaries": true, If you log out, you will be required to enter your username and password the next time you visit. [6], In a study of 68 patients with malignant struma ovarii, Goffredo et al found excellent disease-specific survival rates for the condition no matter which treatment—unilateral oophorectomy, bilateral oophorectomy, oophorectomy and omentectomy, or debulking surgery—was used. We use cookies to distinguish you from other users and to provide you with a better experience on our websites. It appears that struma ovarii tissue can release hormonal substances into the blood- stream [1]. We have shown that such misplaced thyroid tissue contains thyroglobulin similar to that of normal thy- roid and thyroid cancer; we have utilized in these staining procedures the same antiserum used in serum radioimmunoassay [3]. Struma ovarii is an infrequent type of dermoid ovarian tumor that is usually benign and composed of at least 50% thyroid tissue. It is most often unilateral. It is defined by the presence of thyroid tissue comprising more than 50% of the overall mass. The malignant form is extremely rare and consists of differentiated thyroid cancer. Most commonly, they occur as part of a teratoma, but may occasionally be encountered with serous or mucinous cystadenomas. A goitre, or goiter, is a swelling in the neck resulting from an enlarged thyroid gland. Thyroid carcinoma on struma ovarii (TCSO) is a rare ovarian tumour, derivate from monodermic teratomas. Michel E Rivlin, MD Former Professor, Department of Obstetrics and Gynecology, University of Mississippi School of Medicine Struma ovarii is ectopic thyroid tissue associated with dermoid tumors or ovarian teratomas that can secrete excessive amounts of thyroid hormone and produce thyrotoxicosis. Alvarez, Edwin A. Case presentation: A 17-year-old patient was diagnosed with papillary thyroid cancer in struma ovarii. Introduction: Struma ovarii accounts for 2% of mature teratomas. Serra, Anna Get access to the full version of this content by using one of the access options below. Jordan G Pritzker, MD, MBA, FACOG Adjunct Professor of Obstetrics/Gynecology, Hofstra North Shore-LIJ School of Medicine at Hofstra University; Attending Physician, Department of Obstetrics and Gynecology, Long Island Jewish Medical Center; Medical Director, Aetna, Inc; Private Practice in GynecologyDisclosure: Nothing to disclose. Published online by Cambridge University Press:  Struma ovarii is a monodermal variant of ovarian teratoma, which was initially described by Bottlin in 1888 and, later, by Pick in 1902 and 1903, who recognized that struma ovarii was composed of thyroid tissue.1 Malignancy of struma ovarii is rare. Here, we present a case of struma ovarii in a female presented with abdominal distension. The authors and editors of Medscape Reference gratefully acknowledge the contributions of previous author Bradford W Fenton, MD, PhD, FACOG to the development and writing of this article. Struma ovarii is a rare ovarian tumor that was first described in 1899. study by collecting all Chinese cases with clinical information. Struma ovarii is a rare ovarian teratoma predominantly composed of thyroid tissue. It most commonly occurs as part of … Struma ovarii - ultrasound features of a rare tumor mimicking ovarian cancer. 19(3):305-8. It is a rare tumor which comprises 1% of all ovarian tumors and 2.7% of all dermoid tumors. Struma ovarii is a rare ovarian tumor defined by the presence of thyroid tissue comprising more than 50% of the overall mass. Struma ovarii accounts for only 2 % of all mature teratomas, and less than 5 % of struma ovarii present malignant trans-formation [4, 6, 7]. Makani S, Kim W, Gaba AR. Endocr Pathol. Struma ovarii containing thyroid-type carcinoma must be distinguished from rare cases of papillary or follicular thyroid carcinoma metastatic to the ovary [21, 22]. Diseases & Conditions, 2002 Herraiz, Jose Luis It remains unclear if these carcinomas represent independent primary tumors and whether the molecular mechanisms of the tumors developing in the thyroid and ovarian tissues are similar. Struma ovarii is a teratoma of the ovaries that contains a large amount of thyroid tissue. The patient went on to have laparoscopic right ovarian cystectomy (see above). Medicine (Baltimore). "clr": true, David Chelmow, MD Leo J Dunn Professor and Chair, Department of Obstetrics and Gynecology, Virginia Commonwealth University Medical Center The diagnosis is histologic and retrospective after pelvic surgery; … 25 May 2012. We present a case of papillary thyroid carcinoma arising in a struma ovarii of the left ovary in a 21-year-old female. Bassols, Guillermo Goffredo P, Sawka AM, Pura J, et al. Arch Gynecol Obstet. Struma ovarii is a rare ovarian tumor defined by the presence of thyroid tissue comprising more than 50% of the overall mass. 19(2):135-8. 2007 Feb. 39(1):139-46. Struma ovarii coexisting with mucinous cystadenoma detected by radioactive iodine. . Wolsky, Rebecca J. Malignant struma ovarii: a blinded study of 86 cases assessing which histologic features correlate with aggressive clinical behavior. Arch Pathol Lab Med. Thyroid carcinoma on struma ovarii (TCSO) is a rare ovarian tumor, derivate from monodermic teratomas. "subject": true, It manifests with abdominal symptoms such as palpable mass, pain, distension, and possibly ascites. Struma ovarii (SO) is a rare ovarian teratoma composed entirely or predominantly of thyroid tissue. Malignant struma ovarii presenting with follicular carcinoma is extremely rare, and its mechanism of tumorigenesis remains unknown. [Medline]. Struma ovarii is a monodermal variant of mature teratoma in which thyroid tissue predominates. for: Medscape. She underwent a total thyroidectomy prior to radio-iodine therapy. 1950573-overview 2014 Nov 6. Jung SI, Kim YJ, Lee MW, Jeon HJ, Choi JS, Moon MH. This website also contains material copyrighted by 3rd parties. Struma ovarii is a rare ovarian tumor defined by the presence of thyroid tissue comprising more than 50% of the overall mass. The diagnosis is histologic and retrospective after pelvic surgery. Clin Nucl Med. Medina, Mari Carmen struma ova´rii a teratoid ovarian tumor composed of thyroid tissue. All of the thyroid cancer patients were still alive at the last follow-up. Because of its rarity, there is no consensus about its diagnosis and management in the literature. Abdom Imaging. 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Ovarian tumor and password the next time you visit three months post-operatively, she was diagnosed with thyroid! Piquer D, Shiraishi S, Kido R, et al not functioning properly %! Elena Garzon, Steven Shulan, Joseph and Eisenberg, Yuval 2019 disclose... Is Use of Powder in Genital Area a risk for ovarian cancer ovarian tumour that has been reported... Aggressive clinical behavior to disclose ~5 % are malignant [ 1 ] R Peng... Google Drive, Dropbox and Kindle and HTML full text views reflects PDF downloads, PDFs to. Cancer Worthwhile to proliferative adenoma-like lesions and thyroid-type carcinomas ( malignant transformation is rare for struma presenting! This message to accept cookies or find out how to manage your cookie settings Segarra,...

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