Struma ovarii physical examination: Difference between revisions
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{{CMG}}; {{AE}} {{ARK}} | {{CMG}}; {{AE}} {{ARK}} | ||
==Overview== | ==Overview== | ||
Patients with | Patients with struma ovarii usually appear normal. Physical examination of patients with Struma ovarii is usually remarkable for palpable lower [[abdominal mass]]. Pelvic pressure related to a [[Pelvic masses|pelvic mass]] is observed. Struma ovarii appears to occur more frequently in the right [[adnexa]]. In some cases [[ascites]] may be observed. | ||
==Physical Examination== | ==Physical Examination== | ||
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:*Palpable lower [[abdominal mass]] | :*Palpable lower [[abdominal mass]] | ||
:*Pelvic pressure related to a [[Pelvic masses|pelvic mass]] | :*Pelvic pressure related to a [[Pelvic masses|pelvic mass]] | ||
===Appearance of the Patient=== | ===Appearance of the Patient=== | ||
*Patients with | *Patients with struma ovarii usually appear asymptomatic and some may experience discomfort in the abdomen due to pelvic pressure related to a [[Pelvic masses|pelvic mass]]. | ||
*[[Facial flushing]] is seen 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> | *[[Facial flushing]] is seen 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> | ||
===Vital Signs=== | ===Vital Signs=== | ||
*Vital signs in a patient with | *Vital signs in a patient with struma ovarii appear to be normal. | ||
===Skin=== | ===Skin=== | ||
There are no significant findings associated with | There are no significant findings associated with struma ovarii. | ||
===HEENT=== | ===HEENT=== | ||
*There are no significant findings associated with | *There are no significant findings associated with struma ovarii. | ||
===Neck=== | ===Neck=== | ||
*There are no significant findings associated with | *There are no significant findings associated with struma ovarii. | ||
===Lungs=== | ===Lungs=== | ||
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===Back=== | ===Back=== | ||
There are no significant findings associated with | There are no significant findings associated with struma ovarii. | ||
===Genitourinary=== | ===Genitourinary=== | ||
*A [[Pelvic masses|pelvic mass]] may be palpated | *A [[Pelvic masses|pelvic mass]] may be palpated. | ||
*Pelvic pressure related to a [[Pelvic masses|pelvic mass]] | *Pelvic pressure related to a [[Pelvic masses|pelvic mass]]. | ||
===Neuromuscular=== | ===Neuromuscular=== | ||
There are no significant findings associated with | There are no significant findings associated with struma ovarii. | ||
===Extremities=== | ===Extremities=== | ||
There are no significant findings associated with | There are no significant findings associated with struma ovarii. | ||
==References== | ==References== | ||
Revision as of 14:28, 29 August 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
Patients with struma ovarii usually appear normal. Physical examination of patients with Struma ovarii is usually remarkable for palpable lower abdominal mass. Pelvic pressure related to a pelvic mass is observed. Struma ovarii appears to occur more frequently in the right adnexa. In some cases ascites may be observed.
Physical Examination
- Physical examination of patients with Struma ovarii is usually remarkable for:
- Palpable lower abdominal mass
- Pelvic pressure related to a pelvic mass
Appearance of the Patient
- Patients with struma ovarii usually appear asymptomatic and some may experience discomfort in the abdomen due to pelvic pressure related to a pelvic mass.
- Facial flushing is seen very rarely. [1] [2]
Vital Signs
- Vital signs in a patient with struma ovarii appear to be normal.
Skin
There are no significant findings associated with struma ovarii.
HEENT
- There are no significant findings associated with struma ovarii.
Neck
- There are no significant findings associated with struma ovarii.
Lungs
- In malignant struma ovarii, distant metastases to the lungs have been observed. [3]
- In some cases of Struma ovarii, hydrothorax has been observed. [4]
Heart
Abdomen
- Palpable lower abdominal mass
- May present with ascites in some cases. [5] [6] [7]
Back
There are no significant findings associated with struma ovarii.
Genitourinary
- A pelvic mass may be palpated.
- Pelvic pressure related to a pelvic mass.
Neuromuscular
There are no significant findings associated with struma ovarii.
Extremities
There are no significant findings associated with struma ovarii.
References
- ↑ 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.
- ↑ 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.
- ↑ Selvaggi F, Risio D, Waku M, Simo D, Angelucci D, D'Aulerio A, Cotellese R, Innocenti P (2012). "Struma ovarii with follicular thyroid-type carcinoma and neuroendocrine component: case report". World J Surg Oncol. 10: 93. doi:10.1186/1477-7819-10-93. PMC 3586957. PMID 22613573.
- ↑ 4.0 4.1 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.
- ↑ 5.0 5.1 Tanimanidis P, Chatzistamatiou K, Nikolaidou A, Kaplanis K (2014). "Struma ovarii. A case report". Hippokratia. 18 (4): 357–8. PMC 4453812. PMID 26052205.
- ↑ 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.
- ↑ 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.