Struma ovarii and hyperthyroidism ( A case report )

Abstract

Ovarian strumanın neden olduğu bir hipertiroidizm vakası sunuldu.

We report the case of a 46 year old woman, who admitted to the endocrinology department with diffuse complaints. The laboratory date showed hyperthyroidism. She had hypogastric complaints, therefore a gynecological consultation was carried out. A right ovarian tumor was discovered at ultrasound examination because she was complaining of low abdominal pain.CT scan of the abdomen showed a 5 cm. predominantly cystic right ovarian mass. I131 uptake and scan showed %75 thyroid uptake at 4 h and a focus of intense uptake in the right upper quadrant of the abdomen. CA 125 level was greatly elevated. The patient underwent laparoscopic exploration and a 5cm. cystic mass of the right ovary was removed. Pathologic examination of the ovarian mass revealed struma ovarii. (Fig.l) Preoperative treatment for the hyperthyroidism included propylthiouracil and propranolol. Fig.l. Microscopic section of benign cystic teratoma showing thyroid