Papillary carcinoma in struma ovarii

A case report

Nataniele Piol, Bruno Spina, Massimo Giusti, Simone Ferrero, Carlo Toncini, Valerio Gaetano Vellone

Research output: Contribution to journalArticle

Abstract

BACKGROUND: Thyroid-type carcinoma in struma ovarii (SO) is a very rare neoplasia which can sometimes be difficult to diagnose and treat because of the relatively poor knowledge of the disease. CASE: A 52-year-old woman with a right ovarian neoformation presented with abdominopelvic pain. A bilateral salpingo-oophorectomy was performed, and histopathological examination revealed a right ovarian teratoma in which thyroid tissue harbored a nonencapsulated follicular variant of papillary carcinoma. Total thyroidectomy ruled out metastasis from a primary thyroid tumor, and histopathological examination revealed no evidence of thyroid malignancy. Radioactive iodine therapy was performed 4 months after thyroidectomy, and the patient showed no evidence of recurrent or persistent disease after 14 months of follow-up. CONCLUSION: Papillary thyroid-type carcinoma is reported as the most common thyroid-type carcinoma in SO and yet is a very rare disease, with only 18 cases reported in the English literature in the last 9 years. No consensus has been reached among pathologists in diagnostic criteria nor among clinicians in treatment strategy. CONCLUSION: As thyroid-type carcinoma in SO is a rare disease, much effort is needed in developing adequate diagnostic criteria and treatment modalities.

Original languageEnglish
Pages (from-to)100-105
Number of pages6
JournalAnalytical and Quantitative Cytopathology and Histopathology
Volume40
Issue number2
Publication statusPublished - Apr 1 2018

Fingerprint

Struma Ovarii
Papillary Carcinoma
Thyroid Neoplasms
Thyroid Gland
Thyroidectomy
Rare Diseases
Disease
Carcinoma, Papillary, Follicular
Literature
Neoplasms
diagnostic
Ovariectomy
Iodine
English literature
examination
Consensus
Therapeutics
Neoplasm Metastasis
evidence
pain

Keywords

  • Carcinoma
  • Ovarian cancer
  • Ovarian diseases
  • Ovarian teratoma
  • Ovary
  • Papillary
  • Rare diseases
  • Struma ovarii
  • Thyroid cancer
  • Thyroid neoplasms

ASJC Scopus subject areas

  • Histology
  • Pathology and Forensic Medicine
  • Cell Biology

Cite this

Papillary carcinoma in struma ovarii : A case report. / Piol, Nataniele; Spina, Bruno; Giusti, Massimo; Ferrero, Simone; Toncini, Carlo; Vellone, Valerio Gaetano.

In: Analytical and Quantitative Cytopathology and Histopathology, Vol. 40, No. 2, 01.04.2018, p. 100-105.

Research output: Contribution to journalArticle

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