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CASE REPORT
Year : 2013  |  Volume : 10  |  Issue : 1  |  Page : 23-25

Hyperthyroidism due to bilateral benign cystic struma ovarii: A rare case report


Department of Pathology, Sri Satya Sai Medical College and Research Institute, Nellikuppam, Tamilnadu, India

Correspondence Address:
Bharathi Kannusamy
Department of Pathology, Sri Satya Sai Medical College and Research Institute, Nellikuppam, Tamilnadu
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0973-0354.105843

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Struma ovarii is a rare specialized monodermal teratoma of ovary composed predominantly of thyroid tissue (> 50%). Most of the cases are asymptomatic. Hyperthyroidism due to functional struma ovarii is seen only in 5 to 10% of cases. We report here a case of bilateral benign cystic struma ovarii in a 50-year-old lady presenting with signs and symptoms of hyperthyroidism. Her thyroid profile showed elevated levels of total and free thyroxine levels. Pelvic ultrasonogram showed bilateral cystic ovarian tumor along with minimal ascites. 131-I whole body scan revealed bilateral focus of high radioactive iodine uptake in the pelvis. A provisional diagnosis of cystic struma ovarii was made. Abdominal exploration showed cystic mass lesion in both ovaries. She underwent total abdominal hysterectomy with bilateral salphingo-oophorectomy. Histopathological examination confirmed the mass as benign cystic struma ovarii. Signs and symptoms rapidly disappeared after surgical removal of tumor. This rare case is reported here for its unusual clinical presentation.


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