Struma ovarii physical examination: Difference between revisions
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{{CMG}}; {{AE}} {{ARK}} | {{CMG}}; {{AE}} {{ARK}} | ||
==Overview== | ==Overview== | ||
Patients with struma ovarii usually appear normal. Physical examination of 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== | ||
Physical examination of patients with struma ovarii is usually remarkable for: | |||
:*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]] | ||
Struma ovarii appears to occur more frequently (68.8%) in the right [[adnexa]] and [[CA-125]] level appears within normal limits.<ref name="pmid11127011">{{cite journal |vauthors=Zalel Y, Seidman DS, Oren M, Achiron R, Gotlieb W, Mashiach S, Goldenberg M |title=Sonographic and clinical characteristics of struma ovarii |journal=J Ultrasound Med |volume=19 |issue=12 |pages=857–61 |year=2000 |pmid=11127011 |doi= |url=}}</ref> Clinical features in struma ovarii are generally non-specific and resemble ovarian [[malignancy]].<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> | |||
===Appearance of the Patient=== | ===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 masses|pelvic mass]]. | *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]] | *[[Facial flushing]] (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=== | ||
* | *Normal vital signs | ||
===Lungs=== | ===Lungs=== | ||
* | *[[hydrothorax]]<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="pmid22613573">{{cite journal |vauthors=Selvaggi F, Risio D, Waku M, Simo D, Angelucci D, D'Aulerio A, Cotellese R, Innocenti P |title=Struma ovarii with follicular thyroid-type carcinoma and neuroendocrine component: case report |journal=World J Surg Oncol |volume=10 |issue= |pages=93 |year=2012 |pmid=22613573 |pmc=3586957 |doi=10.1186/1477-7819-10-93 |url=}}</ref> | ||
**Secondary to distant [[metastases]] to the [[lungs]] | |||
===Heart=== | ===Heart=== | ||
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===Abdomen=== | ===Abdomen=== | ||
*Palpable lower [[abdominal mass]] | *Palpable lower [[abdominal mass]] | ||
* | *[[ascites]]<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><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> | ||
**In rare cases | |||
* | |||
===Genitourinary=== | ===Genitourinary=== | ||
* | *[[Pelvic masses|Pelvic mass]] | ||
==References== | ==References== | ||
Revision as of 00:34, 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
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
Struma ovarii appears to occur more frequently (68.8%) in the right adnexa and CA-125 level appears within normal limits.[1] Clinical features in struma ovarii are generally non-specific and resemble ovarian malignancy.[2]
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 (rarely) [2][3]
Vital Signs
- Normal vital signs
Lungs
- hydrothorax[4][5]
- Secondary to distant metastases to the lungs
Heart
Abdomen
- Palpable lower abdominal mass
- ascites[6][7][8]
- In rare cases
Genitourinary
References
- ↑ Zalel Y, Seidman DS, Oren M, Achiron R, Gotlieb W, Mashiach S, Goldenberg M (2000). "Sonographic and clinical characteristics of struma ovarii". J Ultrasound Med. 19 (12): 857–61. PMID 11127011.
- ↑ 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.
- ↑ 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.
- ↑ 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.
- ↑ 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.
- ↑ 6.0 6.1 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.