CASE REPORT OF A MONODERMAL MATURE TERATOMA – STRUMA OVARII IN A 43-YEARS OLD WOMAN

December 2, 2015

CASE REPORT OF A MONODERMAL MATURE TERATOMA – STRUMA OVARII IN A 43-YEARS OLD WOMAN

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Title:	CASE REPORT OF A MONODERMAL MATURE TERATOMA – STRUMA OVARII IN A 43-YEARS OLD WOMAN
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Article_Title:	CASE REPORT OF A MONODERMAL MATURE TERATOMA – STRUMA OVARII IN A 43-YEARS OLD WOMAN
Authors:	Corina Ülgüt, Lucian Paiusan, Claudia Terfaloaga, Gheorghe Furau, Casiana Stanescu
Affiliation:	¹Pathology Departament, County Emergency Hospital Arad, Romania ²Obstetric and Gynecology Departament, County Emergency Hospital Arad, Romania
Abstract:	Since its firs description in 1895 by Von Kalden, Gottschalk in 1899 and Mayer in 1903, only 150 cases of struma ovarii were reported in the medical literature. Its account for 1% of all ovarian tumors, less than 5% of mature teratoma and most are benign, only 5 to 10% are malignant. We report a case of unilateral monodermal mature teratoma, struma ovarii type, in a 43-years old patient with benign ascites.Total hysterectomy with bilateral oophoro-salphingectomy was preformed. Microscopy showed in right ovary – monodermal mature teratoma, struma ovarii type, ascites liquid without atypical cells. No symptoms of hyperthyroidism were observed, including the post-operative period.Struma ovarii is a rare type of teratomas, difficult to identify without histopathological examination. Surgery is the only treatment because can cause symptoms of pelvic mass and compression, also malignant alteration is possible.
Keywords:	struma ovarii, mature teratoma, ascites, ovarian tumor
References:	1. Blaustein A. Pathology of the female genital tract. New York: Springer-Verlag;2004. 2. Boettlin R. Uber zahnentwickelung in dermoid cysten des ovariums. Virchows Arch Path Arat 1889; 115: 493-504. 3. Gottschalk S. Ein neuer typus einer kleincystischen bosartigen eierstockgeschwulst. Arch Gynak 1899; 59: 676-98. 4. International histological classification of tumors, No.9. Geneva: World Health Organisation; 2005. 5. Kim JC, Kim SS, Park JY. MR findings of struma ovarii. Clin Imaging 2000;24:28-33. 6. Kumar V, Gupta N, Srivasan R et al. Struma ovarii. A report of seven cases. J. Obstet Gynecol India 2007; Vol. 57, No. 4: 350351. 7. Outwater EK; Siegelman ES; Hunt JL. Ovarian teratomas: tumor types and imaging characteristics. Radiographics 2001;21(2):475-90. 8. Serov SF, Scully RE, Sobin LH. Histological typing of ovarian tumors. 2006. 9. Templeman CL, Fallat ME, Lam AM, et al. Managing mature cystic teratomas of the ovary. Obstet Gynecol Surv 2000; 55: 738–745.
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Article Title:	CASE REPORT OF A MONODERMAL MATURE TERATOMA – STRUMA OVARII IN A 43-YEARS OLD WOMAN
Authors:	Corina Ülgüt, Lucian Paiusan, Claudia Terfaloaga, Gheorghe Furau, Casiana Stanescu
Affiliation:	¹Pathology Departament, County Emergency Hospital Arad, Romania ²Obstetric and Gynecology Departament, County Emergency Hospital Arad, Romania
Abstract:	Since its firs description in 1895 by Von Kalden, Gottschalk in 1899 and Mayer in 1903, only 150 cases of struma ovarii were reported in the medical literature. Its account for 1% of all ovarian tumors, less than 5% of mature teratoma and most are benign, only 5 to 10% are malignant. We report a case of unilateral monodermal mature teratoma, struma ovarii type, in a 43-years old patient with benign ascites.Total hysterectomy with bilateral oophoro-salphingectomy was preformed. Microscopy showed in right ovary – monodermal mature teratoma, struma ovarii type, ascites liquid without atypical cells. No symptoms of hyperthyroidism were observed, including the post-operative period.Struma ovarii is a rare type of teratomas, difficult to identify without histopathological examination. Surgery is the only treatment because can cause symptoms of pelvic mass and compression, also malignant alteration is possible.
Keywords:	struma ovarii, mature teratoma, ascites, ovarian tumor
References:	1. Blaustein A. Pathology of the female genital tract. New York: Springer-Verlag;2004. 2. Boettlin R. Uber zahnentwickelung in dermoid cysten des ovariums. Virchows Arch Path Arat 1889; 115: 493-504. 3. Gottschalk S. Ein neuer typus einer kleincystischen bosartigen eierstockgeschwulst. Arch Gynak 1899; 59: 676-98. 4. International histological classification of tumors, No.9. Geneva: World Health Organisation; 2005. 5. Kim JC, Kim SS, Park JY. MR findings of struma ovarii. Clin Imaging 2000;24:28-33. 6. Kumar V, Gupta N, Srivasan R et al. Struma ovarii. A report of seven cases. J. Obstet Gynecol India 2007; Vol. 57, No. 4: 350351. 7. Outwater EK; Siegelman ES; Hunt JL. Ovarian teratomas: tumor types and imaging characteristics. Radiographics 2001;21(2):475-90. 8. Serov SF, Scully RE, Sobin LH. Histological typing of ovarian tumors. 2006. 9. Templeman CL, Fallat ME, Lam AM, et al. Managing mature cystic teratomas of the ovary. Obstet Gynecol Surv 2000; 55: 738–745.
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