Struma ovarii with atypical features and synchronous primary thyroid cancer: a case report and review of the literature.
Arch Gynecol Obstet
; 300(6): 1693-1707, 2019 12.
Article
em En
| MEDLINE
| ID: mdl-31679038
ABSTRACT
PURPOSE:
To present a case of struma ovarii with a typical features and synchronous primary thyroid carcinoma and review the available literature to guide diagnosis and management of these tumors.METHODS:
We present a case from our hospital of a 55-year-old woman who had an adnexal mass with features concerning for papillary thyroid carcinoma and was ultimately determined to be struma ovarii with atypical features. Subsequent thyroid imaging and biopsy revealed a primary cervical thyroid carcinoma. We performed a PubMed search of published English language articles using the search terms "malignant struma ovarii," "metastatic struma ovarii," "struma ovarii with malignant transformation," "struma ovarii papillary thyroid carcinoma," "struma ovarii follicular thyroid carcinoma," and "struma ovarii with concurrent primary thyroid carcinoma."RESULTS:
Literature review included 104 studies with a total of 195 patient cases. The average age at presentation was 44.9 years. 25.1% of patients had metastatic disease at presentation, and 6.2% had synchronous primary carcinomas; all of which were located in the thyroid.CONCLUSIONS:
Thyroid carcinoma arising in struma ovarii or mature cystic teratoma should prompt clinical evaluation and imaging of the thyroid given the possibility of synchronous primaries, metastases, and recurrence.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Neoplasias Ovarianas
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Estruma Ovariano
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Neoplasias da Glândula Tireoide
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Neoplasias Primárias Múltiplas
Tipo de estudo:
Systematic_reviews
Limite:
Female
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Humans
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Middle aged
Idioma:
En
Revista:
Arch Gynecol Obstet
Ano de publicação:
2019
Tipo de documento:
Article