Unusual Case of Malignant Struma Ovarii and Cervical Thyroid Cancer Preceded by Ovarian Teratoma: Case Report and Review of the Literature

Objective. To present a rare case of malignant struma ovarii (MSO) and synchronous thyroid cancer, review the medical literature, and present the latest trends in management. Methods. The case of a woman with MSO and concomitant thyroid cancer is presented, including clinical presentation, treatment...

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Main Authors: Elias G. Tzelepis, Elena Barengolts, Steven Garzon, Joseph Shulan, Yuval Eisenberg
Format: Article
Language:English
Published: Wiley 2019-01-01
Series:Case Reports in Endocrinology
Online Access:http://dx.doi.org/10.1155/2019/7964126
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author Elias G. Tzelepis
Elena Barengolts
Steven Garzon
Joseph Shulan
Yuval Eisenberg
author_facet Elias G. Tzelepis
Elena Barengolts
Steven Garzon
Joseph Shulan
Yuval Eisenberg
author_sort Elias G. Tzelepis
collection DOAJ
description Objective. To present a rare case of malignant struma ovarii (MSO) and synchronous thyroid cancer, review the medical literature, and present the latest trends in management. Methods. The case of a woman with MSO and concomitant thyroid cancer is presented, including clinical presentation, treatment, and follow-up care. A search of the English-language literature was conducted using MEDLINE and Google Scholar data bases. Results. We found 10 publications (one abstract) describing 10 patients with MSO and concomitant thyroid cancer. Six additional patients were reported by a study that analyzed the SEER (cancer registry) database. The median age of women was 42 years, with the majority of them presenting with abdominal symptoms. Histologically, most tumors were papillary carcinomas in both organs. In 5 patients, there was extrathyroidal tumor extension at time of surgery. Conclusion. MSO can occasionally coexist with highly aggressive eutopic thyroid cancer. Although this concurrence is even rarer than MSO, clinicians should routinely investigate for possible synchronous thyroid cancer in all cases of MSO and also consider aggressive postoperative treatment including thyroidectomy and radioiodine ablation therapy in cases of MSO.
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spelling doaj-art-0983fe725ed945bb9beff193f3a410ce2025-02-03T01:31:16ZengWileyCase Reports in Endocrinology2090-65012090-651X2019-01-01201910.1155/2019/79641267964126Unusual Case of Malignant Struma Ovarii and Cervical Thyroid Cancer Preceded by Ovarian Teratoma: Case Report and Review of the LiteratureElias G. Tzelepis0Elena Barengolts1Steven Garzon2Joseph Shulan3Yuval Eisenberg4Division of Endocrinology, Diabetes & Metabolism, University of Illinois at Chicago, Chicago, IL, USADivision of Endocrinology, Diabetes & Metabolism, University of Illinois at Chicago, Chicago, IL, USADepartment of Pathology, University of Illinois at Chicago, Chicago, IL, USADivision of Endocrinology, Diabetes & Metabolism, University of Illinois at Chicago, Chicago, IL, USADivision of Endocrinology, Diabetes & Metabolism, University of Illinois at Chicago, Chicago, IL, USAObjective. To present a rare case of malignant struma ovarii (MSO) and synchronous thyroid cancer, review the medical literature, and present the latest trends in management. Methods. The case of a woman with MSO and concomitant thyroid cancer is presented, including clinical presentation, treatment, and follow-up care. A search of the English-language literature was conducted using MEDLINE and Google Scholar data bases. Results. We found 10 publications (one abstract) describing 10 patients with MSO and concomitant thyroid cancer. Six additional patients were reported by a study that analyzed the SEER (cancer registry) database. The median age of women was 42 years, with the majority of them presenting with abdominal symptoms. Histologically, most tumors were papillary carcinomas in both organs. In 5 patients, there was extrathyroidal tumor extension at time of surgery. Conclusion. MSO can occasionally coexist with highly aggressive eutopic thyroid cancer. Although this concurrence is even rarer than MSO, clinicians should routinely investigate for possible synchronous thyroid cancer in all cases of MSO and also consider aggressive postoperative treatment including thyroidectomy and radioiodine ablation therapy in cases of MSO.http://dx.doi.org/10.1155/2019/7964126
spellingShingle Elias G. Tzelepis
Elena Barengolts
Steven Garzon
Joseph Shulan
Yuval Eisenberg
Unusual Case of Malignant Struma Ovarii and Cervical Thyroid Cancer Preceded by Ovarian Teratoma: Case Report and Review of the Literature
Case Reports in Endocrinology
title Unusual Case of Malignant Struma Ovarii and Cervical Thyroid Cancer Preceded by Ovarian Teratoma: Case Report and Review of the Literature
title_full Unusual Case of Malignant Struma Ovarii and Cervical Thyroid Cancer Preceded by Ovarian Teratoma: Case Report and Review of the Literature
title_fullStr Unusual Case of Malignant Struma Ovarii and Cervical Thyroid Cancer Preceded by Ovarian Teratoma: Case Report and Review of the Literature
title_full_unstemmed Unusual Case of Malignant Struma Ovarii and Cervical Thyroid Cancer Preceded by Ovarian Teratoma: Case Report and Review of the Literature
title_short Unusual Case of Malignant Struma Ovarii and Cervical Thyroid Cancer Preceded by Ovarian Teratoma: Case Report and Review of the Literature
title_sort unusual case of malignant struma ovarii and cervical thyroid cancer preceded by ovarian teratoma case report and review of the literature
url http://dx.doi.org/10.1155/2019/7964126
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