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卵巢甲状腺肿中的甲状腺乳头状癌。

Papillary type thyroid carcinoma in an ovarian struma.

机构信息

The Department of Otolaryngology, Head and Neck Surgery, St James Hospital, Dublin, Ireland.

出版信息

Ir J Med Sci. 2012 Mar;181(1):115-7. doi: 10.1007/s11845-010-0467-5. Epub 2010 Mar 26.

Abstract

BACKGROUND

Struma Ovarii are mature teratomas. In rare circumstances thyroid tissue is found as part of the histopathological makeup. Malignant transformation may occur in 1-2% of these rare cases.

AIM

To report a rare case of malignant thyroid carcinoma within a struma ovarii.

RESULT

A 22-year-old lady presented with a right pelvic mass. A right-sided laparoscopic salpingo-oophrectomy was performed which revealed a malignant struma ovarii neoplasm. A total thyroidectomy was performed with adjuvant I(131) therapy.

CONCLUSION

This is a rare tumour which necessitates surgical extirpation and removal of a normal thyroid gland to facilitate thyroglobulin monitoring.

摘要

背景

卵巢甲状腺肿是成熟的畸胎瘤。在极少数情况下,甲状腺组织被发现是组织病理学组成的一部分。这些罕见病例中约有 1%-2%会发生恶性转化。

目的

报告一例罕见的卵巢甲状腺肿内恶性甲状腺癌病例。

结果

一名 22 岁女性因右侧盆腔肿块就诊。行右侧腹腔镜下输卵管卵巢切除术,发现恶性卵巢甲状腺肿肿瘤。行全甲状腺切除术,并辅以 I(131)治疗。

结论

这是一种罕见的肿瘤,需要手术切除,并切除正常的甲状腺,以方便甲状腺球蛋白监测。

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