Malignant Struma Ovarii: Case Report and a Review of the Literature
Struma ovarii is a rare tumor. Malignant change in this tumour is even rarer. While clinical presentation is protean, a preoperative diagnosis is equally difficult. Diagnosis is confirmed by histology. Treatment of
malignant struma ovarii is by surgical resection of the tumor or total abdominal hysterectomy and bilateral salpingo-oophorectomy. A total thyroidectomy allows radioactive iodine ablation and the use of thyroglobulin as marker to monitor recurrence. However due to rarity of the disease, standard treatment is still controversial. We present a case of malignant struma ovarii, followed up for five years after treatment, and a review of the literature on the disease. The patient was treated with surgery and radiation. She is still free of disease after 5 years.
Key Words: Malignant Struma Ovarii, Ovarian Teratoma, Papillary Thyroid Carcinoma
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