Struma ovarii history and symptoms
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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 symptom is 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.
History and Symptoms
History
Patients with Struma ovarii may have a positive history of: [1] [2]
- Palpable lower abdominal mass
- Pelvic pressure related to a pelvic mass.
Common Symptoms
Common symptoms of Struma ovarii include: [2] [3]
- Lower abdominal pain
- Abnormal vaginal bleeding
- Abdominal distention [4]
- Dyschezia (constipation associated with a defective reflex for defecation) [4]
- Ascites [5] [6]
- Instestinal obstruction [4]
- Nausea [4]
Less Common Symptoms
Less common symptoms of Struma ovarii include: [2] [3]
- Anepithymia (Loss of apetite) [4]
- Tachycardia
- Weight loss (manifestation of thyroid hyperfunction)
- Rarely thyroid tumors
- Hydrothorax
- Fever [4]
- Finger tremor [7]
- Palpitations are observed very rarely [8]
References
- ↑ 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.
- ↑ 2.0 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.
- ↑ 3.0 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.
- ↑ 4.0 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.
- ↑ 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.
- ↑ 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.
- ↑ 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.