title: Papillary carcinoma in struma ovarii: an unusual presentation.
abstract: Struma ovarii is the presence of thyroid tissue as the major cellular component in an ovarian tumour. Papillary carcinoma in struma ovarii is exceptionally rare. We report a case of papillary carcinoma in struma ovarii in a postmenopausal 51-year-old female who initially presented clinically with hyperthyroidism. Serology, however, did not confirm hyperthyroidism. During a re-admission to our hospital later that year she appeared to have had periods of postmenopausal vaginal haemorrhage. An abdominal mass was located by radiography and pathological investigation revealed a papillary carcinoma in struma ovarii. Some striking features of this unusual presentation of importance to the internal medicine physician are discussed.
authors.affiliation: Department of Internal Medicine, Twenteborg Hospital, Almelo, The Netherlands.
authors.forename: J F C
authors.initials: JF
authors.lastname: Tomee
authors.forename: P F M
authors.initials: PF
authors.lastname: van der Heijden
authors.forename: J H W
authors.initials: JH
authors.lastname: van den Hout
authors.forename: M
authors.initials: M
authors.lastname: Brinkhuis
authors.forename: Th F
authors.initials: TF
authors.lastname: Veneman
mesh_terms: D002291:Carcinoma, Papillary / Q000175:diagnosis* / Q000601:surgery; D003937:Diagnosis, Differential; D019160:Endosonography; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008875:Middle Aged; D010051:Ovarian Neoplasms / Q000175:diagnosis* / Q000601:surgery; D010052:Ovariectomy / Q000379:methods; D013330:Struma Ovarii; D014057:Tomography, X-Ray Computed