An unusual presentation of a papillary thyroid carcinoma in the struma ovarii in a 10 year-old girl: A case report

INTRODUCTION: Struma ovarii is an ovarian tumor with thyroid tissue as its predominant component. It usually occurs in older women and presents with abdominal mass, pain and abnormal bleeding. Most patients are euthyroid, but some reports have noted thyrotoxicosis originating from the malignant stru...

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Detalles Bibliográficos
Autores principales: Iranparvar Alamdari, Manouchehr, Habibzadeh, Afshin, Pakrouy, Hossein, Chaichi, Parastoo, Sheidaei, Sharareh
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2018
Materias:
Article
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6129671/
https://www.ncbi.nlm.nih.gov/pubmed/30196119
http://dx.doi.org/10.1016/j.ijscr.2018.08.056
Descripción
Sumario:INTRODUCTION: Struma ovarii is an ovarian tumor with thyroid tissue as its predominant component. It usually occurs in older women and presents with abdominal mass, pain and abnormal bleeding. Most patients are euthyroid, but some reports have noted thyrotoxicosis originating from the malignant struma ovarii. PRESENTATION OF CASE: A 10 year-old girl presented with tachycardia, normal thyroid exam and thyrotoxicosis. Thyroid scan showed no uptake with increased uptake in right ovary indicative of struma ovarii. The patient underwent oophorectomy and thyroidectomy, Pathology showed papillary thyroid carcinoma limited to the struma ovarii. Following TSH suppressive therapy and treatment with I(131), she is totally symptom free. DISCUSSION: Struma ovarii should be a possible diagnosis in any female patient with thyrotoxicosis manifestations with normal thyroid scan and examination.

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