Enigma of a mass : a case report on struma ovaari /
Enigma of a mass : a case report on struma ovaari /
Odessa L. Dosado.
- Fairview, Quezon City: Department of Obstetrics and Gynecology, FEU-NRMF, 2020.
- 19 pages: photos; (in folder) with flash drive (soft copy).
Includes appendices and bibliographical references.
Abstract: Struma ovarii is a rare type of ovarian moodermal teratoma representing 0.5-1%of all ovarian tumors. It was described by Von Klden in 1896 and by Gottschalk in 1899 however, a number of aspects as to the diagnosis and management remains enigmatic. Struma ovarii is defined is a variant of a mature cystic teratoma composed of at least 50% of thyroid tissue. Causes usually occur during reproductive years of life however there are cases on extremes of ages. Although the mass contain ectopic thyrois hormones, most of the time it is not active hence signs and symptoms of clinical hyperthyroidism are not evident. Preoperative diagnosis of struma ovarii is challenging as the clinical symptoms, radiological and serum markers are not specific. Definitive diagnosis of Struma ovarii still relies on the pathologic diagnosis of the Pathologist. On microscopic examination of the mass, there are various sized eosinophilic thyroid follicles, homogenous, containing gelatinous colloid fluid lined with a single layer of cuboidal or columnar epithelium. Once diagnosed pre-operatively, cystectomy or salpingo-oophorectomy may be done alongside laparoscopy or laparotomy. However, due to the rarity of this case, most patients are only diagnosed post-operatively after extensive staging. Although thyroid hoemone test may be used as market for relapse and treatment, there are still ongoing debates on its accuracy. The objective of this report is to present a case of a 49 year old, multigravida, diagnosedof Invasive ductal carcinoma, right and under went Modified radical mastectomy, right, post-menopausal who presented with an incidental large ovarian cystic mass on unltrasound with benign sonomorphologic pattern, hence, underwent operation and on final histopathology report reported as a rare case of struma ovarii with features concurrent with Hashimoto's thyroiditis. The patient was then worked up for any thyroid disease and revealed normal results.
Research - Department of Obstetrics & Gynecology
struma ovarii
hashimoto's thyroiditis
germ cell tumor
OB 2020 0003
Includes appendices and bibliographical references.
Abstract: Struma ovarii is a rare type of ovarian moodermal teratoma representing 0.5-1%of all ovarian tumors. It was described by Von Klden in 1896 and by Gottschalk in 1899 however, a number of aspects as to the diagnosis and management remains enigmatic. Struma ovarii is defined is a variant of a mature cystic teratoma composed of at least 50% of thyroid tissue. Causes usually occur during reproductive years of life however there are cases on extremes of ages. Although the mass contain ectopic thyrois hormones, most of the time it is not active hence signs and symptoms of clinical hyperthyroidism are not evident. Preoperative diagnosis of struma ovarii is challenging as the clinical symptoms, radiological and serum markers are not specific. Definitive diagnosis of Struma ovarii still relies on the pathologic diagnosis of the Pathologist. On microscopic examination of the mass, there are various sized eosinophilic thyroid follicles, homogenous, containing gelatinous colloid fluid lined with a single layer of cuboidal or columnar epithelium. Once diagnosed pre-operatively, cystectomy or salpingo-oophorectomy may be done alongside laparoscopy or laparotomy. However, due to the rarity of this case, most patients are only diagnosed post-operatively after extensive staging. Although thyroid hoemone test may be used as market for relapse and treatment, there are still ongoing debates on its accuracy. The objective of this report is to present a case of a 49 year old, multigravida, diagnosedof Invasive ductal carcinoma, right and under went Modified radical mastectomy, right, post-menopausal who presented with an incidental large ovarian cystic mass on unltrasound with benign sonomorphologic pattern, hence, underwent operation and on final histopathology report reported as a rare case of struma ovarii with features concurrent with Hashimoto's thyroiditis. The patient was then worked up for any thyroid disease and revealed normal results.
Research - Department of Obstetrics & Gynecology
struma ovarii
hashimoto's thyroiditis
germ cell tumor
OB 2020 0003
