Article ; Online: Papillary thyroid carcinoma in struma ovarii: management after surgery.
BMJ case reports
2022 Volume 15, Issue 11
Abstract: A woman in her 40s presented with a 3-month history of lower abdominal pain and intermenstrual bleeding. Ultrasound of the pelvis disclosed a 4 cm left adnexal mass. An MRI of the pelvis revealed a 2.2×3.6×2.4 cm solid, enhancing left ovarian mass. Due ... ...
Abstract | A woman in her 40s presented with a 3-month history of lower abdominal pain and intermenstrual bleeding. Ultrasound of the pelvis disclosed a 4 cm left adnexal mass. An MRI of the pelvis revealed a 2.2×3.6×2.4 cm solid, enhancing left ovarian mass. Due to high suspicion for malignancy, she underwent laparoscopic left salpingo-oophorectomy and resection of the tumour. Histopathology revealed papillary thyroid carcinoma in the background of struma ovarii as confirmed by thyroglobulin and thyroid transcription factor-1 positivity on immunohistochemistry. BRAF mutation analysis was negative. An ultrasound of the thyroid gland showed two low-risk nodules. An iodine-123 whole-body scan showed normal uptake in the thyroid gland. Thyroid-stimulating hormone (TSH) was 1.070 mcIU/mL (0.450-4.500), and thyroglobulin was 6.8 ng/mL (1.5-38.5). We risk-stratified this patient as low risk for recurrence. Risk stratification of malignant struma ovarii is essential to determine suitable thyroid targeting adjuvant therapy and reduce the risk of recurrence. |
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MeSH term(s) | Female ; Humans ; Struma Ovarii/diagnosis ; Struma Ovarii/surgery ; Struma Ovarii/pathology ; Thyroid Cancer, Papillary/surgery ; Thyroglobulin ; Carcinoma, Papillary/surgery ; Carcinoma, Papillary/pathology ; Thyroid Neoplasms/diagnosis ; Thyroid Neoplasms/surgery ; Thyroid Neoplasms/pathology ; Ovarian Neoplasms/surgery ; Ovarian Neoplasms/pathology |
Chemical Substances | Thyroglobulin (9010-34-8) |
Language | English |
Publishing date | 2022-11-10 |
Publishing country | England |
Document type | Case Reports ; Journal Article |
ISSN | 1757-790X |
ISSN (online) | 1757-790X |
DOI | 10.1136/bcr-2022-252129 |
Database | MEDical Literature Analysis and Retrieval System OnLINE |
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