Malignant Struma Ovarii: A Case Report |
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Authors: | G��lseren Y��cesoy Yigit Cakiroglu Bahar Muezzinoglu Birsen Besnili Izzet Yucesoy |
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Affiliation: | 1Department of Obstetrics and Gynecology, Kocaeli University, School of Medicine, Kocaeli, Turkey.;2Department of Pathology, Kocaeli University, School of Medicine, Kocaeli, Turkey. |
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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. |
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Keywords: | Struma Ovarii Thyroglobulin Whole Body Imaging |
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