Papillary thyroid-type carcinoma arising from struma ovarii.

Abstract

Malignant transformation of benign monodermal teratoma is a rare presentation of struma ovarii. A 41-year-old Filipina presented with 1-year history of recurrent lower abdominal pain, abdominal swelling and vomiting. Ultrasound of the abdomen revealed a large cystic abdomino-pelvic mass densely adherent to the intestinal and uterine wall with moderate ascitis. The patient underwent total abdominal hysterectomy and bilateral salphingo-oophorectomy and histopathology showed papillary thyroid-type carcinoma arising from the left struma ovarii. She underwent total thyroidectomy, postoperative radioactive iodine ablation and maintained on levothyroxine suppressive therapy. She is now on regular follow-up for monitoring of possible tumour recurrence and metastasis.

• Authors: Jerome Rebollos Barrera, Leonido Andrade Manalo, Frances Lina Lantion Ang
• Journal: BMJ case reports (BMJ Case Rep) Vol. 2012 (Jul 11 2012) ISSN: 1757-790X [Electronic] England
• PMID: 22787184 (Publication Type: Case Reports, Journal Article)

Topics

• Adult
• Biopsy
• Carcinoma (diagnosis, surgery)
• Carcinoma, Papillary (diagnosis, surgery)
• Diagnosis, Differential
• Female
• Humans
• Ovarian Neoplasms (diagnosis, surgery)
• Ovariectomy
• Struma Ovarii (pathology, surgery)
• Teratoma (diagnosis, surgery)
• Thyroid Cancer, Papillary
• Thyroid Gland (pathology, surgery)
• Thyroid Neoplasms (diagnosis, surgery)
• Thyroidectomy