关键词: hysterectomy omentectomy ovarian tumors salpingo oophorectomy struma ovarii thyroid

来  源:   DOI:10.1093/jscr/rjad584   PDF(Pubmed)

Abstract:
Struma ovarii comprises 1% of all ovarian tumors and 3% of ovarian teratomas. It occurs in older females. Struma ovarii is often asymptomatic, unilateral, and accidentally detected through abdominal ultrasound or computed tomography. It presents with palpable abdominal pain or irregular menstrual cycles. Generally, it is treated with surgical resection, even though the best procedure in these cases remains under discussion. In this study, we present a case of a 28-year-old female with severe pain in the right iliac fossa. Physical examination and radiological images showed a large mass. A bilateral salpingo-oophorectomy with omentectomy, a total mass resection, and an abdominal hysterectomy were performed. A biopsy confirmed the diagnosis of a follicular thyroid tumor. The management decision is based on clinical and pathological data. This is particularly challenging due to its rarity and the insufficient guidelines regarding the management of this type of cancer.
摘要:
卵巢Struma占所有卵巢肿瘤的1%和卵巢畸胎瘤的3%。它发生在老年女性身上。卵巢Struma通常无症状,单边,并通过腹部超声或计算机断层扫描意外检测到。它表现为明显的腹痛或月经周期不规则。一般来说,用手术切除治疗,即使在这些情况下的最佳程序仍在讨论中。在这项研究中,我们介绍一例28岁女性患者,右髂窝剧烈疼痛。体格检查和放射学图像显示肿块很大。双侧输卵管卵巢切除术伴网膜切除术,完全切除,并进行了腹式子宫切除术。活检证实诊断为滤泡性甲状腺肿瘤。管理决策基于临床和病理数据。由于其稀有性和关于这种类型癌症的管理的指南不足,这是特别具有挑战性的。
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