Hashimoto Thyroiditis as a Manifestation of Struma Ovarii:

Struma ovarii accompanied by mature cystic teratoma of the other ovary: A case report and literature review

Struma ovarii, as a monodermal variant of ovarian teratoma, constitutes <3% of ovarian teratomas. It is difficult determine a diagnosis prior to surgery. The current study reports an unusual case of struma ovarii occurring in a 49 year-old female, which was accompanied by mature cystic teratoma involving the other ovary. The final pathological diagnosis was confirmed as struma ovarii based on the typical morphology of the thyroid follicles and the results of immunohistochemical staining. The bilateral tumors were resected and follow-up examinations were planned at four month intervals. At the time of writing, the patient was well and no tumor recurrence had been identified.

From struma ovarii to Hashimoto disease--an unusual diagnosis of primary hypothyroidism: case report

CAPSULE

Authors report a case of a 52-year-old woman after struma ovarii with chronic lymphocytic inflammation excision. Finally thyroxin treatment was started and patient's hypothyroidism symptoms diminished.

CASE SUMMARY

Struma ovarii is a type of mature teratoma in which thyroid tissue forms the main component. In most cases struma ovarii is composed of normal thyroid tissue while lymphocytic thyroiditis in struma ovarii occurs very rarely. The authors report a case of a 52-year-old woman after ovarian tumor excision. In histopatholgical examination struma ovarii with chronic lymphocytic inflammation was diagnosed. Additional studies revealed a typical ultrasonographic picture of Hashimoto disease in the thyroid gland and an increased concentration of thyroglobulin antibodies. A final diagnosis of Hashimoto disease was confirmed. Initially, thyroid gland function was normal but 11 months after surgery, supplementation therapy with thyroxin was administered. In this case, an early diagnosis of Hashimoto disease resulted from excision of struma ovarii with chronic lymphocytic inflammation. It induced early thyroxin treatment and allowed to reduce hypothyroidism symptoms.