Rahma Atrikha, Mardiyana Lies, Fauziah Dyah
Department of Radiology, Faculty of Medicine Universitas Airlangga, Dr Soetomo General Academic Hospital, Surabaya, Indonesia.
Department of Anatomic Pathology, Faculty of Medicine Universitas Airlangga, Dr Soetomo General Academic Hospital, Surabaya, Indonesia.
Radiol Case Rep. 2022 Mar 22;17(5):1705-1708. doi: 10.1016/j.radcr.2022.02.067. eCollection 2022 May.
Struma ovarii is categorised as a monodermal type of mature teratoma and consists primarily of thyroid tissue. It is an uncommon ovarian tumor, with non-specific clinical, and imaging findings. The majority of struma ovarii are benign and are typically associated with mature cystic teratomas. A small proportion of struma ovarii may undergo malignant transformation, with papillary carcinoma the most common type of malignancy. The criteria used to identify a malignant change in struma ovarii are identical to those used to evaluate the thyroid gland. Nevertheless, due to the rarity of struma ovarii, imaging diagnostic criteria, and subsequent management are not clearly defined. This case report describes a 41-year-old female patient who presented with rapid abdominal enlargement over a period of 1 month, accompanied by elevation of the tumor marker CA-125. Based on these clinically findings, ovarian cancer was suspected. The patient underwent a total abdominal hysterectomy with bilateral salpingo-oophorectomy. Histopathology results revealed a malignant struma ovarii.
卵巢甲状腺肿被归类为单胚层成熟畸胎瘤，主要由甲状腺组织构成。它是一种罕见的卵巢肿瘤，临床和影像学表现不具特异性。大多数卵巢甲状腺肿是良性的，通常与成熟囊性畸胎瘤相关。一小部分卵巢甲状腺肿可能发生恶性转化，乳头状癌是最常见的恶性类型。用于识别卵巢甲状腺肿恶性变化的标准与评估甲状腺时使用的标准相同。然而，由于卵巢甲状腺肿罕见，影像学诊断标准及后续治疗尚不明确。本病例报告描述了一名41岁女性患者，其在1个月内出现腹部迅速增大，并伴有肿瘤标志物CA - 125升高。基于这些临床表现，怀疑为卵巢癌。该患者接受了全腹子宫切除术及双侧输卵管卵巢切除术。组织病理学结果显示为恶性卵巢甲状腺肿。
