Cystic struma ovarii: a rare presentation of an infrequent tumor

Carvalho, Rita Barbosa de; Cintra, Maria Letícia; Matos, Patrícia Francisca de; Campos, Paulo Sérgio Bueno de

doi:10.1590/s1516-31802000000100005

Cited by 5 publications

(4 citation statements)

References 3 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…However, presence of greenish or brown glary fluid may give a clue. 15 Furthermore, struma ovarii causes more diagnostic dilemma when it is of cystic variety, as it is very rare and also sometimes confusing in histopathology. It is characterized by a prominent cystic configuration with minimal thyroid tissue or follicles and presence of nonspecific flat or cuboidal epithelium may mislead the diagnosis with other cystic tumors.…”

Section: Discussionmentioning

confidence: 99%

“…It is characterized by a prominent cystic configuration with minimal thyroid tissue or follicles and presence of nonspecific flat or cuboidal epithelium may mislead the diagnosis with other cystic tumors. 6,10,15 Sometimes immunohistochemical staining for thyroglobulin may be required to arrive at a diagnosis. 11 In the biopsy report of our patient too, an area showed well-defined thyroid follicles, but in most other places, flattened epithelium was reported.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

A Case of Cystic Struma Ovarii: A Rare Ovarian Tumor

Goswami¹,

Gautam²,

Kathar³

et al. 2020

Journal of South Asian Federation of Obstetrics and Gynaecology

View full text Add to dashboard Cite

Background: Struma ovarii is a rare ovarian neoplasm, which contains thyroid tissue. It accounts for less than 5% of ovarian teratomas. These are mostly benign, occurring between 40 years and 60 years of age. Clinical and radiological features are inconclusive and mostly it is diagnosed by histopathology. About 5-8% cases have hyperthyroidism. Cystic struma ovarii is very rare with only 25 cases reported till now. It creates confusion in diagnosis, as even in histopathology, the cells are mostly like those resembling other cystic ovarian tumors with minimal thyroid follicles. Case description: A 20-year-old girl came with complaints of abdominal discomfort and difficulty in squatting and lying supine. Clinically, a 28-week-size cystic tumor was palpated. Ultrasound showed features of a cystic benign tumor. Tumor markers were normal. Laparoscopic cystectomy was done. Histopathology showed cystic struma ovarii. At 6-month follow-up, the patient has been doing well. Conclusion: Cystic struma ovarii is a rare diagnosis. Clinical, biochemical, and radiological features do not help. A careful and keen pathological examination is necessary so that thyroid follicles are not left while viewing. There is no clear consensus on follow-up of these patients, but benign tumors usually do not need extensive follow-up. Clinical significance: It is a rare tumor and a good histopathological diagnosis is needed. Cystic tumors should be carefully examined. A proper correlation between clinical, biochemical, radiological, intraoperative, and histopathological findings may help us to consider this diagnosis when we get similar cases.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

A Case of Cystic Struma Ovarii: A Rare Ovarian Tumor

Goswami¹,

Gautam²,

Kathar³

et al. 2020

Journal of South Asian Federation of Obstetrics and Gynaecology

View full text Add to dashboard Cite

show abstract

“…É mais comum nas quarta e quinta décadas de vida e é frequentemente unilateral e benigno. 2,4 Os sintomas podem incluir aumento do perímetro e dor abdominal, presença de massa abdominal palpável, metrorragias, ascite, hipertiroidismo, entre outros, mas mais frequentemente apresenta-se como achado imagiológico incidental. [1][2][3]5 O diagnóstico diferencial de struma ovarii é feito com a generalidade dos tumores ováricos benignos e malignos, o que conduz frequentemente ao tratamento cirúrgico semelhante ao realizado na suposição diagnóstica de doença maligna.…”

Section: Discussionunclassified

Struma ovarii, an uncommon diagnosis: case-report

Santos¹,

Rocha²,

Gameiro³

et al. 2019

Revista Portuguesa de Endocrinologia, Diabetes e Metabolismo

View full text Add to dashboard Cite

Struma ovarii é um teratoma ovárico com mais de 50% de tecido tiroideu e representa 1% dos tumores do ovário. É geralmente assintomático e diagnosticado incidentalmente, mas pode causar sintomas abdominais e alterações da função tiroideia. Apresentamos o caso clínico de doente do sexo feminino, 51 anos, seguida em consulta por massa anexial à direita, assintomática, de características benignas, com aumento progressivo de dimensões. Analiticamente sem alterações relevantes (nomeadamente função tiroideia e marcadores tumorais). A doente foi submetida a salpingo-ooforectomia unilateral. O exame histológico revelou predominância de tecido tiroideu, compatível com struma ovarii. Manteve-se assintomática e sem alterações analíticas no seguimento. A raridade e características do struma ovarii levam a que, apesar de um elevado grau de suspeição, o diagnóstico seja realizado apenas após confi rmação histológica. O tratamento é excisão cirúrgica e pode ser diferente na presença de células malignas.

show abstract

“…Histopathological analysis including microscopy and immunohistochemistry of multiple tumour samplings is required for definitive diagnosis [7]. Immunocytochemistry for Thyroglobulin (TGB) or Thyroid Transcription Factor (TTF-1) is also a valuable tool for preoperative fine needle aspiration biopsy and intraoperative diagnosis.…”

Section: Discussionmentioning

confidence: 99%