Official websites use. Share sensitive information only on official, secure websites. Corresponding author. For commercial re-use, please contact journals. It occurs in older females. Struma ovarii is often asymptomatic, unilateral, and accidentally detected through abdominal ultrasound or computed tomography.
It presents with palpable abdominal pain or irregular menstrual cycles. Generally, it is treated with surgical resection, even though the best procedure in these cases remains under discussion. In this study, we present a case of a year-old female with severe pain in the right iliac fossa. Physical examination and radiological images showed a large mass. A bilateral salpingo-oophorectomy with omentectomy, a total mass resection, and an abdominal hysterectomy were performed. A biopsy confirmed the diagnosis of a follicular thyroid tumor.
The management decision is based on clinical and pathological data. This is particularly challenging due to its rarity and the insufficient guidelines regarding the management of this type of cancer. Keywords: struma ovarii, ovarian tumors, thyroid, hysterectomy, salpingo oophorectomy, omentectomy. Papillary and follicular thyroid carcinomas are the most common types.
It is uncommon to observe other forms of thyroid cancer [ 1 ]. SO is often unilateral and more frequent among women between the ages of 40s and 60s [ 1 ]. Typically, SO is asymptomatic and is accidentally detected through abdominal ultrasound US or computed tomography CT [ 4 ].
SO symptoms are similar to those of other ovarian tumors, showing nonspecific characteristics such as palpable abdominal mass, abdominal pain, or irregular menstrual cycles [ 4 ]. Due to its rarity and limited research, there are still no established diagnostic or treatment guidelines. In general, benign unilateral tumors are treated with surgical resection [ 5 ].
