title: Malignant struma ovarii: a case report.
abstract: We present a case of a 40-yr-old woman diagnosed with a primary malignant struma ovarii. The patient was admitted with the complaint of pelvic pain and a large pelvic mass in the mid-portion of lower abdomen on gynecological examination. Pre-operative tumor markers and routine biochemistry were unremarkable. She was treated with total abdominal hysterectomy and right salpingo-oopherectomy. Post-operatively, she was diagnosed with a malignant struma ovarii through the usage of histopathological criteria similar to the guidelines for primary thyroid gland disease. The patient was subsequently performed left salpingo-oopherectomy and retroperitoneal pelvic lympadenectomy for re-staging. Although, left ovary and lymph nodes were histopathologically normal, she was offered thyroidectomy but she refused to accept the offer. Thyroglobulin level was monitored in the post-operative period. She is free of the disease for 18 months.
authors.affiliation: Department of Obstetrics and Gynecology, Kocaeli University, School of Medicine, Kocaeli, Turkey. gulserene@superonline.com
authors.forename: Gülseren
authors.initials: G
authors.lastname: Yücesoy
authors.forename: Yigit
authors.initials: Y
authors.lastname: Cakiroglu
authors.forename: Bahar
authors.initials: B
authors.lastname: Muezzinoglu
authors.forename: Birsen
authors.initials: B
authors.lastname: Besnili
authors.forename: Izzet
authors.initials: I
authors.lastname: Yucesoy
mesh_terms: D000328:Adult; D005260:Female; D006801:Humans; D007044:Hysterectomy; D010051:Ovarian Neoplasms / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000473:pathology; D010052:Ovariectomy; D013330:Struma Ovarii / Q000175:diagnosis* / Q000473:pathology / Q000556:secondary; D013954:Thyroglobulin / Q000378:metabolism; D014463:Ultrasonography
chemical_list: D013954:Thyroglobulin