000			02905nam a22002897a 4500
999			_c12027 _d12027
001			OB 2020 0003
003			PILC
005			20240720153217.0
008			211027b xxu||||| |||| 00| 0 eng d
040			_beng _cFEU-NRMF MEDICAL LIBRARY _erda
041			_aenglish
050			_aOB 2020 0003
245			_aEnigma of a mass : _ba case report on struma ovaari / _cOdessa L. Dosado.
260			_aFairview, Quezon City: _bDepartment of Obstetrics and Gynecology, FEU-NRMF, _c2020.
300			_a19 pages: _bphotos; _c(in folder) _ewith flash drive (soft copy).
336			_2rdacontent _atext
337			_2rdamedia _aunmediated
338			_2rdacarrier _avolume
504			_aIncludes appendices and bibliographical references.
520			_aAbstract: 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.
521			_aRESDOG
650			_astruma ovarii
650			_ahashimoto's thyroiditis
650			_agerm cell tumor
700			_aDosado, Odessa L., MD. _eauthor
942			_2lcc _cRU