Struma ovarii history and symptoms: Difference between revisions

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==Overview==
==Overview==
The most common presenting symptoms are [[pelvic pain]], [[abdominal distension]] followed by abnormal [[vaginal bleeding]]. Other symptoms such as anepithymia, dyschesia, [[nausea]], [[fever]], [[intestinal obstruction]], frequent [[micturition]] and [[ascites]] may also be seen.
The most common presenting symptoms are [[pelvic pain]], [[abdominal distension]] followed by abnormal [[vaginal bleeding]]. Other symptoms such as [[anorexia]], [[dyschezia]], [[nausea]], [[fever]], [[intestinal obstruction]], frequent [[micturition]] and [[ascites]] may also be seen.


==History and Symptoms==
==History and Symptoms==
===History===
===History===
Patients with Struma ovarii may have a positive history of: <ref name="pmid5448747">{{cite journal |vauthors=Kempers RD, Dockerty MB, Hoffman DL, Bartholomew LG |title=Struma ovarii--ascitic, hyperthyroid, and asymptomatic syndromes |journal=Ann. Intern. Med. |volume=72 |issue=6 |pages=883–93 |year=1970 |pmid=5448747 |doi= |url=}}</ref> <ref name="pmid19471561">{{cite journal |vauthors=Yoo SC, Chang KH, Lyu MO, Chang SJ, Ryu HS, Kim HS |title=Clinical characteristics of struma ovarii |journal=J Gynecol Oncol |volume=19 |issue=2 |pages=135–8 |year=2008 |pmid=19471561 |pmc=2676458 |doi=10.3802/jgo.2008.19.2.135 |url=}}</ref>
Patients with struma ovarii may have a positive history of: <ref name="pmid5448747">{{cite journal |vauthors=Kempers RD, Dockerty MB, Hoffman DL, Bartholomew LG |title=Struma ovarii--ascitic, hyperthyroid, and asymptomatic syndromes |journal=Ann. Intern. Med. |volume=72 |issue=6 |pages=883–93 |year=1970 |pmid=5448747 |doi= |url=}}</ref><ref name="pmid19471561">{{cite journal |vauthors=Yoo SC, Chang KH, Lyu MO, Chang SJ, Ryu HS, Kim HS |title=Clinical characteristics of struma ovarii |journal=J Gynecol Oncol |volume=19 |issue=2 |pages=135–8 |year=2008 |pmid=19471561 |pmc=2676458 |doi=10.3802/jgo.2008.19.2.135 |url=}}</ref>
*Palpable lower abdominal mass
*Palpable lower [[abdominal mass]]
*Pelvic pressure related to a pelvic mass.
*Pelvic pressure related to a [[Pelvic masses|pelvic mass]]


===Common Symptoms===
===Common Symptoms===
Common symptoms of Struma ovarii include: <ref name="pmid19471561">{{cite journal |vauthors=Yoo SC, Chang KH, Lyu MO, Chang SJ, Ryu HS, Kim HS |title=Clinical characteristics of struma ovarii |journal=J Gynecol Oncol |volume=19 |issue=2 |pages=135–8 |year=2008 |pmid=19471561 |pmc=2676458 |doi=10.3802/jgo.2008.19.2.135 |url=}}</ref> <ref name="pmid26052205">{{cite journal |vauthors=Tanimanidis P, Chatzistamatiou K, Nikolaidou A, Kaplanis K |title=Struma ovarii. A case report |journal=Hippokratia |volume=18 |issue=4 |pages=357–8 |year=2014 |pmid=26052205 |pmc=4453812 |doi= |url=}}</ref>
Common symptoms of struma ovarii include:<ref name="pmid19471561">{{cite journal |vauthors=Yoo SC, Chang KH, Lyu MO, Chang SJ, Ryu HS, Kim HS |title=Clinical characteristics of struma ovarii |journal=J Gynecol Oncol |volume=19 |issue=2 |pages=135–8 |year=2008 |pmid=19471561 |pmc=2676458 |doi=10.3802/jgo.2008.19.2.135 |url=}}</ref><ref name="pmid26052205">{{cite journal |vauthors=Tanimanidis P, Chatzistamatiou K, Nikolaidou A, Kaplanis K |title=Struma ovarii. A case report |journal=Hippokratia |volume=18 |issue=4 |pages=357–8 |year=2014 |pmid=26052205 |pmc=4453812 |doi= |url=}}</ref>
*Lower abdominal pain
*Lower [[abdominal pain]]
*Abnormal vaginal bleeding
*Abnormal [[vaginal bleeding]]
*Abdominal distention <ref name="pmid25474425">{{cite journal |vauthors=Luo JR, Xie CB, Li ZH |title=Treatment for malignant struma ovarii in the eyes of thyroid surgeons: a case report and study of Chinese cases reported in the literature |journal=Medicine (Baltimore) |volume=93 |issue=26 |pages=e147 |year=2014 |pmid=25474425 |pmc=4616397 |doi=10.1097/MD.0000000000000147 |url=}}</ref>
*[[Abdominal distention]] <ref name="pmid25474425">{{cite journal |vauthors=Luo JR, Xie CB, Li ZH |title=Treatment for malignant struma ovarii in the eyes of thyroid surgeons: a case report and study of Chinese cases reported in the literature |journal=Medicine (Baltimore) |volume=93 |issue=26 |pages=e147 |year=2014 |pmid=25474425 |pmc=4616397 |doi=10.1097/MD.0000000000000147 |url=}}</ref>
*Dyschezia (constipation associated with a defective reflex for defecation) <ref name="pmid25474425">{{cite journal |vauthors=Luo JR, Xie CB, Li ZH |title=Treatment for malignant struma ovarii in the eyes of thyroid surgeons: a case report and study of Chinese cases reported in the literature |journal=Medicine (Baltimore) |volume=93 |issue=26 |pages=e147 |year=2014 |pmid=25474425 |pmc=4616397 |doi=10.1097/MD.0000000000000147 |url=}}</ref>
*[[Dyschezia]] ([[constipation]] associated with a defective reflex for defecation) <ref name="pmid25474425">{{cite journal |vauthors=Luo JR, Xie CB, Li ZH |title=Treatment for malignant struma ovarii in the eyes of thyroid surgeons: a case report and study of Chinese cases reported in the literature |journal=Medicine (Baltimore) |volume=93 |issue=26 |pages=e147 |year=2014 |pmid=25474425 |pmc=4616397 |doi=10.1097/MD.0000000000000147 |url=}}</ref>
*Ascites <ref name="pmid12611097">{{cite journal |vauthors=Bokhari A, Rosenfeld GS, Cracchiolo B, Heller DS |title=Cystic struma ovarii presenting with ascites and an elevated CA-125 level. A case report |journal=J Reprod Med |volume=48 |issue=1 |pages=52–6 |year=2003 |pmid=12611097 |doi= |url=}}</ref> <ref name="pmid16343201">{{cite journal |vauthors=Rim SY, Kim SM, Choi HS |title=Struma ovarii showing clinical characteristics of ovarian malignancy |journal=Int. J. Gynecol. Cancer |volume=15 |issue=6 |pages=1156–9 |year=2005 |pmid=16343201 |doi=10.1111/j.1525-1438.2005.00328.x |url=}}</ref>
*[[Ascites]] <ref name="pmid12611097">{{cite journal |vauthors=Bokhari A, Rosenfeld GS, Cracchiolo B, Heller DS |title=Cystic struma ovarii presenting with ascites and an elevated CA-125 level. A case report |journal=J Reprod Med |volume=48 |issue=1 |pages=52–6 |year=2003 |pmid=12611097 |doi= |url=}}</ref><ref name="pmid16343201">{{cite journal |vauthors=Rim SY, Kim SM, Choi HS |title=Struma ovarii showing clinical characteristics of ovarian malignancy |journal=Int. J. Gynecol. Cancer |volume=15 |issue=6 |pages=1156–9 |year=2005 |pmid=16343201 |doi=10.1111/j.1525-1438.2005.00328.x |url=}}</ref>
*Instestinal obstruction <ref name="pmid25474425">{{cite journal |vauthors=Luo JR, Xie CB, Li ZH |title=Treatment for malignant struma ovarii in the eyes of thyroid surgeons: a case report and study of Chinese cases reported in the literature |journal=Medicine (Baltimore) |volume=93 |issue=26 |pages=e147 |year=2014 |pmid=25474425 |pmc=4616397 |doi=10.1097/MD.0000000000000147 |url=}}</ref>
*Instestinal obstruction <ref name="pmid25474425">{{cite journal |vauthors=Luo JR, Xie CB, Li ZH |title=Treatment for malignant struma ovarii in the eyes of thyroid surgeons: a case report and study of Chinese cases reported in the literature |journal=Medicine (Baltimore) |volume=93 |issue=26 |pages=e147 |year=2014 |pmid=25474425 |pmc=4616397 |doi=10.1097/MD.0000000000000147 |url=}}</ref>
*Nausea <ref name="pmid25474425">{{cite journal |vauthors=Luo JR, Xie CB, Li ZH |title=Treatment for malignant struma ovarii in the eyes of thyroid surgeons: a case report and study of Chinese cases reported in the literature |journal=Medicine (Baltimore) |volume=93 |issue=26 |pages=e147 |year=2014 |pmid=25474425 |pmc=4616397 |doi=10.1097/MD.0000000000000147 |url=}}</ref>
*[[Nausea]] <ref name="pmid25474425">{{cite journal |vauthors=Luo JR, Xie CB, Li ZH |title=Treatment for malignant struma ovarii in the eyes of thyroid surgeons: a case report and study of Chinese cases reported in the literature |journal=Medicine (Baltimore) |volume=93 |issue=26 |pages=e147 |year=2014 |pmid=25474425 |pmc=4616397 |doi=10.1097/MD.0000000000000147 |url=}}</ref>


===Less Common Symptoms===
===Less Common Symptoms===
Less common symptoms of Struma ovarii include: <ref name="pmid19471561">{{cite journal |vauthors=Yoo SC, Chang KH, Lyu MO, Chang SJ, Ryu HS, Kim HS |title=Clinical characteristics of struma ovarii |journal=J Gynecol Oncol |volume=19 |issue=2 |pages=135–8 |year=2008 |pmid=19471561 |pmc=2676458 |doi=10.3802/jgo.2008.19.2.135 |url=}}</ref> <ref name="pmid26052205">{{cite journal |vauthors=Tanimanidis P, Chatzistamatiou K, Nikolaidou A, Kaplanis K |title=Struma ovarii. A case report |journal=Hippokratia |volume=18 |issue=4 |pages=357–8 |year=2014 |pmid=26052205 |pmc=4453812 |doi= |url=}}</ref>
Less common symptoms of struma ovarii include: <ref name="pmid19471561">{{cite journal |vauthors=Yoo SC, Chang KH, Lyu MO, Chang SJ, Ryu HS, Kim HS |title=Clinical characteristics of struma ovarii |journal=J Gynecol Oncol |volume=19 |issue=2 |pages=135–8 |year=2008 |pmid=19471561 |pmc=2676458 |doi=10.3802/jgo.2008.19.2.135 |url=}}</ref><ref name="pmid26052205">{{cite journal |vauthors=Tanimanidis P, Chatzistamatiou K, Nikolaidou A, Kaplanis K |title=Struma ovarii. A case report |journal=Hippokratia |volume=18 |issue=4 |pages=357–8 |year=2014 |pmid=26052205 |pmc=4453812 |doi= |url=}}</ref>
*Anepithymia (Loss of apetite) <ref name="pmid25474425">{{cite journal |vauthors=Luo JR, Xie CB, Li ZH |title=Treatment for malignant struma ovarii in the eyes of thyroid surgeons: a case report and study of Chinese cases reported in the literature |journal=Medicine (Baltimore) |volume=93 |issue=26 |pages=e147 |year=2014 |pmid=25474425 |pmc=4616397 |doi=10.1097/MD.0000000000000147 |url=}}</ref>
*[[Anorexia]] <ref name="pmid25474425">{{cite journal |vauthors=Luo JR, Xie CB, Li ZH |title=Treatment for malignant struma ovarii in the eyes of thyroid surgeons: a case report and study of Chinese cases reported in the literature |journal=Medicine (Baltimore) |volume=93 |issue=26 |pages=e147 |year=2014 |pmid=25474425 |pmc=4616397 |doi=10.1097/MD.0000000000000147 |url=}}</ref>
*Tachycardia
*[[Tachycardia]]
*Weight loss (manifestation of thyroid hyperfunction)
*[[Weight loss]]
*Rarely thyroid tumors
*[[Thyroid tumor|Thyroid tumors]] (rare)
*Hydrothorax
*[[Hydrothorax]]
*Fever <ref name="pmid25474425">{{cite journal |vauthors=Luo JR, Xie CB, Li ZH |title=Treatment for malignant struma ovarii in the eyes of thyroid surgeons: a case report and study of Chinese cases reported in the literature |journal=Medicine (Baltimore) |volume=93 |issue=26 |pages=e147 |year=2014 |pmid=25474425 |pmc=4616397 |doi=10.1097/MD.0000000000000147 |url=}}</ref>
*[[Fever]] <ref name="pmid25474425">{{cite journal |vauthors=Luo JR, Xie CB, Li ZH |title=Treatment for malignant struma ovarii in the eyes of thyroid surgeons: a case report and study of Chinese cases reported in the literature |journal=Medicine (Baltimore) |volume=93 |issue=26 |pages=e147 |year=2014 |pmid=25474425 |pmc=4616397 |doi=10.1097/MD.0000000000000147 |url=}}</ref>
*Finger tremor <ref name="NagaiYoshida2017">{{cite journal|last1=Nagai|first1=Koichi|last2=Yoshida|first2=Hiroshi|last3=Katayama|first3=Kayo|last4=Ishidera|first4=Yumi|last5=Oi|first5=Yuka|last6=Ando|first6=Noriko|last7=Shigeta|first7=Hiroyuki|title=Hyperthyroidism due to struma ovarii: Diagnostic pitfalls and preventing thyroid storm|journal=Gynecology and Minimally Invasive Therapy|volume=6|issue=1|year=2017|pages=28–30|issn=22133070|doi=10.1016/j.gmit.2016.05.002}}</ref>
*[[Tremor]] <ref name="NagaiYoshida2017">{{cite journal|last1=Nagai|first1=Koichi|last2=Yoshida|first2=Hiroshi|last3=Katayama|first3=Kayo|last4=Ishidera|first4=Yumi|last5=Oi|first5=Yuka|last6=Ando|first6=Noriko|last7=Shigeta|first7=Hiroyuki|title=Hyperthyroidism due to struma ovarii: Diagnostic pitfalls and preventing thyroid storm|journal=Gynecology and Minimally Invasive Therapy|volume=6|issue=1|year=2017|pages=28–30|issn=22133070|doi=10.1016/j.gmit.2016.05.002}}</ref>
*Palpitations are observed very rarely <ref name="pmid24357453">{{cite journal |vauthors=Dujardin MI, Sekhri P, Turnbull LW |title=Struma ovarii: role of imaging? |journal=Insights Imaging |volume=5 |issue=1 |pages=41–51 |year=2014 |pmid=24357453 |pmc=3948908 |doi=10.1007/s13244-013-0303-3 |url=}}</ref> <ref name="pmid11259710">{{cite journal |vauthors=Outwater EK, Siegelman ES, Hunt JL |title=Ovarian teratomas: tumor types and imaging characteristics |journal=Radiographics |volume=21 |issue=2 |pages=475–90 |year=2001 |pmid=11259710 |doi=10.1148/radiographics.21.2.g01mr09475 |url=}}</ref>
*[[Palpitations]] (rare) <ref name="pmid24357453">{{cite journal |vauthors=Dujardin MI, Sekhri P, Turnbull LW |title=Struma ovarii: role of imaging? |journal=Insights Imaging |volume=5 |issue=1 |pages=41–51 |year=2014 |pmid=24357453 |pmc=3948908 |doi=10.1007/s13244-013-0303-3 |url=}}</ref><ref name="pmid11259710">{{cite journal |vauthors=Outwater EK, Siegelman ES, Hunt JL |title=Ovarian teratomas: tumor types and imaging characteristics |journal=Radiographics |volume=21 |issue=2 |pages=475–90 |year=2001 |pmid=11259710 |doi=10.1148/radiographics.21.2.g01mr09475 |url=}}</ref>


==References==
==References==

Latest revision as of 00:29, 16 October 2017

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Aravind Reddy Kothagadi M.B.B.S[2]

Overview

The most common presenting symptoms are pelvic pain, abdominal distension followed by abnormal vaginal bleeding. Other symptoms such as anorexia, dyschezia, nausea, fever, intestinal obstruction, frequent micturition and ascites may also be seen.

History and Symptoms

History

Patients with struma ovarii may have a positive history of: [1][2]

Common Symptoms

Common symptoms of struma ovarii include:[2][3]

Less Common Symptoms

Less common symptoms of struma ovarii include: [2][3]

References

  1. ↑ Kempers RD, Dockerty MB, Hoffman DL, Bartholomew LG (1970). "Struma ovarii--ascitic, hyperthyroid, and asymptomatic syndromes". Ann. Intern. Med. 72 (6): 883–93. PMID 5448747.
  2. ↑ 2.0 2.1 2.2 Yoo SC, Chang KH, Lyu MO, Chang SJ, Ryu HS, Kim HS (2008). "Clinical characteristics of struma ovarii". J Gynecol Oncol. 19 (2): 135–8. doi:10.3802/jgo.2008.19.2.135. PMC 2676458. PMID 19471561.
  3. ↑ 3.0 3.1 Tanimanidis P, Chatzistamatiou K, Nikolaidou A, Kaplanis K (2014). "Struma ovarii. A case report". Hippokratia. 18 (4): 357–8. PMC 4453812. PMID 26052205.
  4. ↑ 4.0 4.1 4.2 4.3 4.4 4.5 Luo JR, Xie CB, Li ZH (2014). "Treatment for malignant struma ovarii in the eyes of thyroid surgeons: a case report and study of Chinese cases reported in the literature". Medicine (Baltimore). 93 (26): e147. doi:10.1097/MD.0000000000000147. PMC 4616397. PMID 25474425.
  5. ↑ Bokhari A, Rosenfeld GS, Cracchiolo B, Heller DS (2003). "Cystic struma ovarii presenting with ascites and an elevated CA-125 level. A case report". J Reprod Med. 48 (1): 52–6. PMID 12611097.
  6. ↑ Rim SY, Kim SM, Choi HS (2005). "Struma ovarii showing clinical characteristics of ovarian malignancy". Int. J. Gynecol. Cancer. 15 (6): 1156–9. doi:10.1111/j.1525-1438.2005.00328.x. PMID 16343201.
  7. ↑ Nagai, Koichi; Yoshida, Hiroshi; Katayama, Kayo; Ishidera, Yumi; Oi, Yuka; Ando, Noriko; Shigeta, Hiroyuki (2017). "Hyperthyroidism due to struma ovarii: Diagnostic pitfalls and preventing thyroid storm". Gynecology and Minimally Invasive Therapy. 6 (1): 28–30. doi:10.1016/j.gmit.2016.05.002. ISSN 2213-3070.
  8. ↑ Dujardin MI, Sekhri P, Turnbull LW (2014). "Struma ovarii: role of imaging?". Insights Imaging. 5 (1): 41–51. doi:10.1007/s13244-013-0303-3. PMC 3948908. PMID 24357453.
  9. ↑ Outwater EK, Siegelman ES, Hunt JL (2001). "Ovarian teratomas: tumor types and imaging characteristics". Radiographics. 21 (2): 475–90. doi:10.1148/radiographics.21.2.g01mr09475. PMID 11259710.

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