Struma ovarii physical examination
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief:
Overview
Patients with [disease name] usually appear [general appearance]. Physical examination of patients with [disease name] is usually remarkable for [finding 1], [finding 2], and [finding 3]. OR
Common physical examination findings of [disease name] include [finding 1], [finding 2], and [finding 3]. OR
The presence of [finding(s)] on physical examination is diagnostic of [disease name]. OR
The presence of [finding(s)] on physical examination is highly suggestive of [disease name].
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]
- Pre-operative radiological diagnosis is essential inorder to avoid ovarian cancer type surgery (bilateral salpingo-oophorectomy, hysterectomy, omentectomy and occasionally appendectomy). [2]
- Advanced MRI may be helpful in identifying and to determine the unusual ovarian mass. [2]
- Occasionally Struma ovarii may present as a purely cystic lesion. [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.
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
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
- ↑ 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 2.2 2.3 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.
- ↑ 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.
- ↑ Tanimanidis P, Chatzistamatiou K, Nikolaidou A, Kaplanis K (2014). "Struma ovarii. A case report". Hippokratia. 18 (4): 357–8. PMC 4453812. PMID 26052205.