An unusual cause of pelvic pain: struma ovarii.
Halpenny, D F O'Brien, J Ibrahim, M M Crotty, R Torreggiani, W C
Halpenny, D F
O'Brien, J
Ibrahim, M M
Crotty, R
Torreggiani, W C
Advisors
Editors
Other Contributors
Date
2009-09
Date Submitted
Keywords
Other Subjects
Subject Mesh
Ablation Techniques
Diagnosis, Differential
Dysmenorrhea
Female
Follow-Up Studies
Humans
Iodine Radioisotopes
Magnetic Resonance Imaging
Ovarian Neoplasms
Ovary
Pelvic Pain
Rare Diseases
Struma Ovarii
Thyroid Gland
Thyroidectomy
Young Adult
Diagnosis, Differential
Dysmenorrhea
Female
Follow-Up Studies
Humans
Iodine Radioisotopes
Magnetic Resonance Imaging
Ovarian Neoplasms
Ovary
Pelvic Pain
Rare Diseases
Struma Ovarii
Thyroid Gland
Thyroidectomy
Young Adult
Planned Date
Start Date
Collaborators
Principal Investigators
Alternative Titles
Abstract
A 22 year old female patient presented with a three month history of pelvic discomfort and dysmenorrhoea. A pelvic MRI demonstrated a large mass measuring 10 x 6 cm in size. On T1 and T2 weighted images the mass was noted to be predominantly cystic. The mass also contained peripheral solid components as well as a large fat fluid level. Following excision, histological examination revealed a lesion with mature teratomatous elements but with a significant component (> 50%) being composed of mature thyroid tissue. A 2cm area within the lesion had the morphological pattern of a classical papillary thyroid carcinoma. A diagnosis of struma ovarii was made. Struma ovarii is a rare ovarian neoplasm generally arising in a teratoma and accounts for less than 1% all ovarian neoplasms. Here we present the above case of struma ovarii in a young patient and discuss the radiological characteristics of the disease.
Language
en
ISSN
0302-7430
eISSN
ISBN
DOI
PMID
19999326