Struma Ovarii, A Rare Form of Ovarian Tumor: Clinical Analysis of 6 Cases
Keywords:Pelvic mass, Struma ovarii, Management
OBJECTIVE: In this study, the analysis of clinical, epidemiological and biological features of 6 patients who had the diagnosis of struma ovarii postoperatively was presented.
STUDY DESIGN: This study consists of 6 patients who admitted to Selcuk University, Faculty of Meram Medicine, Department of Obstetrics and Gynecology with several complaints and who were operated for pelvic mass and diagnosed as struma ovarii postoperatively.
RESULTS: The mean age of patients was 52.5±8.38 years (41-63). 4 patients (66.7%) admitted with pelvic and abdominal pain. All patients had unilateral form of struma ovarii. Thyroid function tests and CA 125 levels were detected to be normal in examined patients. 2 patients did not have preoperative thyroid function tests. None of these patients had symptoms of thyrotoxicosis. Regarding surgical procedures, 1 patients (16.7%) had ovarian cystectomy, and 5 patients (83.3%) had total abdominal hysterectomy together with bilateral salphingooferectomy.
CONCLUSION: Struma ovarii is a medical rarity and preoperative diagnosis is generally impossible. The diagnosis was confirmed only by pathologic findings. Clinicians should be aware of this diagnosis and include it in the differential diagnosis when a patient presents with signs and symptoms of ovarian malignancy.
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