Kung A W, Ma J T, Wang C, Young R T
Department of Medicine, University of Hong Kong, Queen Mary Hospital.
Postgrad Med J. 1990 Feb;66(772):132-3. doi: 10.1136/pgmj.66.772.132.
A patient with hyperthyroid Graves' disease and struma ovarii is described. She had pre-existing Graves' disease and positive thyrotrophin receptor antibody. She was treated with radioactive iodine 5 months before she became pregnant. Paripartum she had torsion of an ovarian cyst with histological evidence of a functional struma ovarii. Immediate exacerbation of her thyrotoxic state was observed after operation as a result of release of thyroid hormone from the tumour. It is postulated that the tumour was stimulated by circulating thyrotrophin receptor antibody.
本文描述了一名患有甲状腺功能亢进型格雷夫斯病及卵巢甲状腺肿的患者。她既往患有格雷夫斯病，促甲状腺素受体抗体呈阳性。在怀孕前5个月，她接受了放射性碘治疗。分娩时，她出现了卵巢囊肿扭转，组织学检查证实为功能性卵巢甲状腺肿。术后，由于肿瘤释放甲状腺激素，观察到她的甲状腺毒症状态立即加重。据推测，该肿瘤受到循环中的促甲状腺素受体抗体的刺激。
