Treatment and Follow-up in an Asymptomatic Malignant Struma Ovarri: A case report
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Título
Treatment and Follow-up in an Asymptomatic Malignant Struma Ovarri: A case reportAutoría
Fecha de publicación
2017Editor
ElsevierCita bibliográfica
LLUECA, Antoni, et al. Treatment and follow-up in an asymptomatic malignant struma ovarii: A case report. International Journal of Surgery Case Reports, 2017, vol. 40, p. 113-115.Tipo de documento
info:eu-repo/semantics/articleVersión de la editorial
http://www.sciencedirect.com/science/article/pii/S2210261217304601Versión
info:eu-repo/semantics/publishedVersionPalabras clave / Materias
Resumen
Introduction
Struma ovarii is a rare ovarian tumor, representing 0.5-1% of all ovarian tumors and 2–5% of ovarian teratomas. It is defined as an ovarian teratoma composed mostly of thyroid tissue. The symptoms are ... [+]
Introduction
Struma ovarii is a rare ovarian tumor, representing 0.5-1% of all ovarian tumors and 2–5% of ovarian teratomas. It is defined as an ovarian teratoma composed mostly of thyroid tissue. The symptoms are nonspecific, and the imaging studies can help in characterize the mass; however, the definitive diagnosis is usually given by the Pathologist. Classically, the treatment is the surgical resection of the ovarian mass, however there is no consensus regarding the follow-up.
Presentation of case
An asymptomatic malignant struma ovarii in a 43 year-old patient is presented. The diagnosis was postoperatively following a laparoscopic adnexectomy due to an apparently benign ovarian teratoma. The histopathology results revealed a mature ovarian cystic teratoma with papillary carcinoma with immunohistochemical characteristics suggesting a thyroid origin. Seeing that there was no thyroid affectation or metastatic disease, we decided a conservative management. A yearly follow-up with CT scan and tumor markers was performed. The endocrinologist also performed annual controls with thyroid ultrasound and serum tests. The patient has remained asymptomatic during these last four years.
Discussion
There is little evidence in literature on the conservative management in cases with evidence of malignancy. If fertility preservation is desired, an unilateral oophorectomy could be performed, along with levels of serum thyroglobulin as a marker of relapse. Other authors claim for aggressive ovarian cancer surgery followed by a total thyroidectomy. There is still no established management for struma ovarii patients and the choice for a conservative or radical approach depends only on the professional decision. [-]
Derechos de acceso
© 2017 The Authors. Published by Elsevier Ltd on behalf of IJS Publishing Group Ltd.
info:eu-repo/semantics/openAccess
info:eu-repo/semantics/openAccess
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