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Hyperthyroidism due to struma ovarii: Diagnostic pitfalls and preventing thyroid storm

We report struma ovarii in a case that had hyperthyroidism and was treated with laparoscopic tumor resection. A 40-year-old Japanese woman presented with tachycardia, finger tremor, and weight loss. Although blood examination showed hyperthyroidism, test results for thyroid stimulating hormone recep...

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Autores principales: Nagai, Koichi, Yoshida, Hiroshi, Katayama, Kayo, Ishidera, Yumi, Oi, Yuka, Ando, Noriko, Shigeta, Hiroyuki
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Medknow Publications & Media Pvt Ltd 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6113955/
https://www.ncbi.nlm.nih.gov/pubmed/30254866
http://dx.doi.org/10.1016/j.gmit.2016.05.002
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author Nagai, Koichi
Yoshida, Hiroshi
Katayama, Kayo
Ishidera, Yumi
Oi, Yuka
Ando, Noriko
Shigeta, Hiroyuki
author_facet Nagai, Koichi
Yoshida, Hiroshi
Katayama, Kayo
Ishidera, Yumi
Oi, Yuka
Ando, Noriko
Shigeta, Hiroyuki
author_sort Nagai, Koichi
collection PubMed
description We report struma ovarii in a case that had hyperthyroidism and was treated with laparoscopic tumor resection. A 40-year-old Japanese woman presented with tachycardia, finger tremor, and weight loss. Although blood examination showed hyperthyroidism, test results for thyroid stimulating hormone receptor antibody and thyroid stimulating antibody were negative, and thyroid scintigraphy showed no abnormal findings. Because she was diagnosed with an ovarian tumor, and whole-body scintigraphy showed that iodine uptake was detected in the pelvic space, we diagnosed her with an ovarian tumor, which caused excessive thyroid hormone secretion. After controlling the thyroid hormone level, we resected the ovarian tumor laparoscopically. The thyroid hormone level was within the normal range postoperatively without any medications. Based on our experience, physicians need to remember that ovarian tumors can cause hyperthyroidism. Controlling the thyroid hormone level preoperatively by using antithyroid drugs and performing minimally invasive laparoscopic surgery is considered useful for preventing thyroid storm.
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spelling pubmed-61139552018-09-24 Hyperthyroidism due to struma ovarii: Diagnostic pitfalls and preventing thyroid storm Nagai, Koichi Yoshida, Hiroshi Katayama, Kayo Ishidera, Yumi Oi, Yuka Ando, Noriko Shigeta, Hiroyuki Gynecol Minim Invasive Ther Case Report We report struma ovarii in a case that had hyperthyroidism and was treated with laparoscopic tumor resection. A 40-year-old Japanese woman presented with tachycardia, finger tremor, and weight loss. Although blood examination showed hyperthyroidism, test results for thyroid stimulating hormone receptor antibody and thyroid stimulating antibody were negative, and thyroid scintigraphy showed no abnormal findings. Because she was diagnosed with an ovarian tumor, and whole-body scintigraphy showed that iodine uptake was detected in the pelvic space, we diagnosed her with an ovarian tumor, which caused excessive thyroid hormone secretion. After controlling the thyroid hormone level, we resected the ovarian tumor laparoscopically. The thyroid hormone level was within the normal range postoperatively without any medications. Based on our experience, physicians need to remember that ovarian tumors can cause hyperthyroidism. Controlling the thyroid hormone level preoperatively by using antithyroid drugs and performing minimally invasive laparoscopic surgery is considered useful for preventing thyroid storm. Medknow Publications & Media Pvt Ltd 2017 2016-06-11 /pmc/articles/PMC6113955/ /pubmed/30254866 http://dx.doi.org/10.1016/j.gmit.2016.05.002 Text en Copyright: © 2016, The Asia-Pacific Association for Gynecologic Endoscopy and Minimally Invasive Therapy http://creativecommons.org/licenses/by-nc-nd/4.0 This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Case Report
Nagai, Koichi
Yoshida, Hiroshi
Katayama, Kayo
Ishidera, Yumi
Oi, Yuka
Ando, Noriko
Shigeta, Hiroyuki
Hyperthyroidism due to struma ovarii: Diagnostic pitfalls and preventing thyroid storm
title Hyperthyroidism due to struma ovarii: Diagnostic pitfalls and preventing thyroid storm
title_full Hyperthyroidism due to struma ovarii: Diagnostic pitfalls and preventing thyroid storm
title_fullStr Hyperthyroidism due to struma ovarii: Diagnostic pitfalls and preventing thyroid storm
title_full_unstemmed Hyperthyroidism due to struma ovarii: Diagnostic pitfalls and preventing thyroid storm
title_short Hyperthyroidism due to struma ovarii: Diagnostic pitfalls and preventing thyroid storm
title_sort hyperthyroidism due to struma ovarii: diagnostic pitfalls and preventing thyroid storm
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6113955/
https://www.ncbi.nlm.nih.gov/pubmed/30254866
http://dx.doi.org/10.1016/j.gmit.2016.05.002
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