甲状腺癌甲状腺切除术后偶然诊断为卵巢甲状腺肿样瘤:功能性影像学研究和随访

作     者：Ghander C. Lussato D. Conte Devolx B. D. Taeb 朱亮 

作者机构：Service central de Biophysique et de Médecine NucléaireCentre hospitalo-universitaire de la Timone264 rue Saint-Pierre13385 Marseille Cedex 5France 

出 版 物：《世界核心医学期刊文摘（妇产科学分册）》 (Core Journal in Obstetrics/Gynecology)

年 卷 期：2006年第2卷第12期

页      面：39-40页

学科分类：1002[医学-临床医学] 100214[医学-肿瘤学] 10[医学] 

主　　题：卵巢甲状腺肿 甲状腺切除术 影像学研究 全身扫描 甲状腺全切术 甲状腺球蛋白 卵巢肿瘤 甲状腺瘤 卵 

摘      要：Background.:Struma ovarii is a rare ovarian germ-cell tumor containing thyroid tissue. We report an unusual case of incidental diagnosis of struma ovarii after thyroidectomy for thyroid cancer. Case.:A 24-year-old woman presented with a papillary thyroid carcinoma (pT3N1). After 131 I administration for thyroid remnant ablation,whole-body scan showed a thyroid bed uptake and a right pelvic uptake corresponding to an ovarian cyst on ultrasonography. Preablation thyroglobulin was more elevated than usually found after total thyroidectomy. 18F-FDG PET was normal. Histopathological analysis revealed a benign struma ovarii. At 6 months,after oophorectomy,serum-stimulated Tg returned to undetectable value and diagnostic WBS was negative. Conclusion.:Only few cases of incidental scinti- graphic diagnosis of struma ovarii have been described. To our knowledge,it is the first case revealed after remnant ablation for thyroid carcinoma. The distinction with ovarian metastasis is discussed.