Struma ovarii surgery: Difference between revisions
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*Surgery is the mainstay of treatment for [disease or malignancy]. | *Surgery is the mainstay of treatment for [disease or malignancy]. | ||
==Surgery== | ==Surgery== | ||
*Surgery is the mainstay of treatment for Struma ovarii. | |||
*For benign cases of struma ovarii the treatment is surgical resection only. For malignant cases of struma ovarii an adjuvant treatment may be needed, but recurrence is uncommon. <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> | |||
*Pre-operative radiological diagnosis is important to avoid ovarian cancer type surgery (bilateral salpingo-oophorectomy, hysterectomy, omentectomy and occasionally appendectomy). <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> | |||
*In patients without disseminated disease, surgical excision has been opted as the preferred treatment because of it's fairly good prognosis. <ref name="pmid12172581">{{cite journal |vauthors=Kabukcuoglu F, Baksu A, Yilmaz B, Aktumen A, Evren I |title=Malignant struma ovarii |journal=Pathol. Oncol. Res. |volume=8 |issue=2 |pages=145–7 |year=2002 |pmid=12172581 |doi=PAOR.2002.8.2.0145 |url=}}</ref> | *In patients without disseminated disease, surgical excision has been opted as the preferred treatment because of it's fairly good prognosis. <ref name="pmid12172581">{{cite journal |vauthors=Kabukcuoglu F, Baksu A, Yilmaz B, Aktumen A, Evren I |title=Malignant struma ovarii |journal=Pathol. Oncol. Res. |volume=8 |issue=2 |pages=145–7 |year=2002 |pmid=12172581 |doi=PAOR.2002.8.2.0145 |url=}}</ref> | ||
Surgical therapy is done by: | Surgical therapy is done by procedures such as: | ||
*Exploratory laparotomy | *Exploratory laparotomy | ||
*Laparoscopic methods | *Laparoscopic methods | ||
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*Total thyroidectomy <ref name="pmid3297279">{{cite journal |vauthors=Willemse PH, Oosterhuis JW, Aalders JG, Piers DA, Sleijfer DT, Vermey A, Doorenbos H |title=Malignant struma ovarii treated by ovariectomy, thyroidectomy, and 131I administration |journal=Cancer |volume=60 |issue=2 |pages=178–82 |year=1987 |pmid=3297279 |doi= |url=}}</ref> | *Total thyroidectomy <ref name="pmid3297279">{{cite journal |vauthors=Willemse PH, Oosterhuis JW, Aalders JG, Piers DA, Sleijfer DT, Vermey A, Doorenbos H |title=Malignant struma ovarii treated by ovariectomy, thyroidectomy, and 131I administration |journal=Cancer |volume=60 |issue=2 |pages=178–82 |year=1987 |pmid=3297279 |doi= |url=}}</ref> | ||
*Omentectomy and occasionally appendectomy. <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> | *Omentectomy and occasionally appendectomy. <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> | ||
==Indications== | ==Indications== | ||
Revision as of 22:35, 11 August 2017
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief:
Overview
- Surgical intervention is not recommended for the management of [disease name].
OR
- Surgery is not the first-line treatment option for patients with [disease name]. Surgery is usually reserved for patients with either [indication 1], [indication 2], and [indication 3]
- The mainstay of treatment for [disease name] is medical therapy. Surgery is usually reserved for patients with either [indication 1], [indication 2], and/or [indication 3].
- The feasibility of surgery depends on the stage of [malignancy] at diagnosis.
OR
- Surgery is the mainstay of treatment for [disease or malignancy].
Surgery
- Surgery is the mainstay of treatment for Struma ovarii.
- For benign cases of struma ovarii the treatment is surgical resection only. For malignant cases of struma ovarii an adjuvant treatment may be needed, but recurrence is uncommon. [1]
- Pre-operative radiological diagnosis is important to avoid ovarian cancer type surgery (bilateral salpingo-oophorectomy, hysterectomy, omentectomy and occasionally appendectomy). [2]
- In patients without disseminated disease, surgical excision has been opted as the preferred treatment because of it's fairly good prognosis. [3]
Surgical therapy is done by procedures such as:
- Exploratory laparotomy
- Laparoscopic methods
Surgical modalities include:
- Total hysterectomy with unilateral or bilateral salpingo-oophorectomy
- Unilateral salpingo-oophorectomy
- Extirpation of struma ovarii
- For malignant struma ovarii, infra-colic omentectomy is preferred.
- Bilateral ovariectomy [4]
- Total thyroidectomy [4]
- Omentectomy and occasionally appendectomy. [2]
Indications
References
- ↑ 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.
- ↑ 2.0 2.1 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.
- ↑ Kabukcuoglu F, Baksu A, Yilmaz B, Aktumen A, Evren I (2002). "Malignant struma ovarii". Pathol. Oncol. Res. 8 (2): 145–7. doi:PAOR.2002.8.2.0145 Check
|doi=value (help). PMID 12172581. - ↑ 4.0 4.1 Willemse PH, Oosterhuis JW, Aalders JG, Piers DA, Sleijfer DT, Vermey A, Doorenbos H (1987). "Malignant struma ovarii treated by ovariectomy, thyroidectomy, and 131I administration". Cancer. 60 (2): 178–82. PMID 3297279.