Singh Pratibha, Lath Nitisha, Shekhar Shashank, Goyal Manu, Gothwal Meenakshi, Yadav Garima, Khera Pushpinder
Department of Obstetrics Gynecology, All India Institute of Medical Sciences, Jodhpur, Rajasthan, India.
Department of Radio-Diagnosis, All India Institute of Medical Sciences, Jodhpur, Rajasthan, India.
J Midlife Health. 2018 Oct-Dec;9(4):225-229. doi: 10.4103/jmh.JMH_53_18.
Struma ovarii is a variant of mature cystic teratoma, with predominant thyroid element. Confirmatory diagnosis is by histopathology. It may mimic as ovarian malignancy in some. It may be associated with ascites in minority; even CA-125 has been found to be raised in some cases. We here report three cases - two operated for suspected ovarian malignancy in a postmenopausal female and one case operated for persistent benign ovarian cyst with raised CA-125 in a young female. In all histopathological diagnosis was a benign struma ovarii. It is difficult to diagnose these cases preoperatively as there are no specific clinical, radiological or serum markers for these rare tumors in the absence of thyroid biology abnormality. Most cases are diagnosed on histopathology. These benign tumors many times require extensive staging laparotomy for suspected ovarian malignancy in the absence of preoperative diagnosis. Prognosis is good for these tumors. Subtle radiological signs and a clinical suspicion can avoid extensive staging laprotomies in these patients.
卵巢甲状腺肿是成熟囊性畸胎瘤的一种变体，以甲状腺成分占主导。确诊依靠组织病理学检查。在某些情况下，它可能类似卵巢恶性肿瘤。少数情况下可能伴有腹水；甚至在一些病例中发现CA-125升高。我们在此报告三例病例——两例是为一名绝经后女性疑似卵巢恶性肿瘤进行手术，一例是为一名年轻女性持续性良性卵巢囊肿伴CA-125升高进行手术。所有病例的组织病理学诊断均为良性卵巢甲状腺肿。由于在没有甲状腺生物学异常的情况下，这些罕见肿瘤没有特异性的临床、放射学或血清标志物，术前很难诊断这些病例。大多数病例是在组织病理学检查时确诊的。在没有术前诊断的情况下，这些良性肿瘤很多时候因疑似卵巢恶性肿瘤而需要进行广泛的分期剖腹手术。这些肿瘤的预后良好。细微的放射学征象和临床怀疑可以避免对这些患者进行广泛分期剖腹手术。
