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.
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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)
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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
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