Tomee J F C, van der Heijden P F M, van den Hout J H W, Brinkhuis M, Veneman Th F
Department of Internal Medicine, Twenteborg Hospital, Almelo, The Netherlands.
Neth J Med. 2008 Jun;66(6):248-51.
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.
卵巢甲状腺肿是指在卵巢肿瘤中存在甲状腺组织作为主要细胞成分。卵巢甲状腺肿中的乳头状癌极为罕见。我们报告一例51岁绝经后女性的卵巢甲状腺肿合并乳头状癌病例，该患者最初临床表现为甲状腺功能亢进。然而，血清学检查并未证实甲状腺功能亢进。同年晚些时候她再次入院时，出现了绝经后阴道出血。通过影像学检查发现腹部有肿块，病理检查显示为卵巢甲状腺肿合并乳头状癌。本文讨论了这种不寻常表现的一些对内科医生来说很重要的显著特征。
