Skip to main content Accessibility help
×
Home

Struma ovarii and the thyroid surgeon

  • S Gunasekaran (a1), E Kopecka (a1), K H Maung (a1) and R J England (a1)

Abstract

Introduction:

Struma ovarii is a rare, monodermal, ovarian teratoma. The common presentation is abdominal, with pelvic mass and pain, traditionally managed by gynaecologists. The malignant form is extremely rare and consists of differentiated thyroid cancer. It is rare for struma ovarii to present with features of hyperthyroidism. We present two unusual cases of struma ovarii and discuss the role of the thyroid surgeon in their management.

Methods and results:

The first case involved a 40-year-old woman with a two-month history of swelling in the lower abdomen. Investigations revealed a mass arising from the left ovary. Surgery revealed a follicular carcinoma arising in a struma ovarii. She underwent a total thyroidectomy prior to radio-iodine therapy. The second case involved a 60-year-old woman who underwent thyroidectomy for thyrotoxicosis. Three months post-operatively, she remained thyrotoxic despite stopping thyroxine. A whole body radio-iodine scan revealed high uptake in the left ovary. Histological analysis of the resected ovary showed benign struma ovarii.

Conclusion:

These two cases highlight the diagnostic and therapeutic role of thyroid surgeons in the management of benign and malignant forms of struma ovarii.

Copyright

Corresponding author

Address for correspondence: Mr Sinnappa Gunasekaran, 9 Woodlea Garth, Leeds LS6 4SG, UK E-mail: gunasek98@yahoo.com

References

Hide All
1 Mistry, D, Atkin, S, Atkinson, H, Gunasekaran, S, Sylvester, D, Rigby, AS et al. Predicting thyroxine requirements following total thyroidectomy. Clin Endocrinol (Oxf) 2011;74:384–7
2 MacLeod, DH. Struma ovarii (thyro-dermoid). A note on the teratomatous origin. Proc R Soc Med 1932;25:1386–91
3 Willemse, PH, Oosterhuis, JW, Aalders, JG. Malignant struma ovarii treated by ovariectomy, thyroidectomy, and 131 I administration. Cancer 1987;60:178–82
4 Wirtz, ED, Bothwell, N, Klem, C. Role of the otolaryngologist in the treatment of struma ovarii. Laryngoscope 2009;120:259–60
5 Devaney, K, Snyder, R, Norris, H, Tavassoli, FA. Proliferative and histologically malignant struma ovarii: a clinicopathologic study of 54 cases. Int J Gynecol Pathol 1993;12:333–43
6 Makani, S, Kim, W, Gaba, A. Struma ovarii with a focus of papillary thyroid cancer; a case report and review of the literature. Gynecol Oncol 2004;94:835–49
7 Robboy, SJ, Shaco-Levy, R, Peng, RY, Snyder, MJ, Donahue, J, Bentley, RC et al. Malignant struma ovarii: an analysis of 88 cases, including 27 with extraovarian spread. Int J Gynecol Pathol 2009;28:405–22

Keywords

Struma ovarii and the thyroid surgeon

  • S Gunasekaran (a1), E Kopecka (a1), K H Maung (a1) and R J England (a1)

Metrics

Full text views

Total number of HTML views: 0
Total number of PDF views: 0 *
Loading metrics...

Abstract views

Total abstract views: 0 *
Loading metrics...

* Views captured on Cambridge Core between <date>. This data will be updated every 24 hours.

Usage data cannot currently be displayed