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Intra-operative consult for cystic struma ovarii—An experience in an academic medical center: A study of 53 cases over 21 years

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Open Journal of Obstetrics and Gynecology 2013年第7期3卷 1-6页

作者： M. Ruhul Quddus Jinjun Xiong S. M. K. Nahar Begum Michele Lomme Katrine Hansen C. James Sung W. Dwayne Lawrence Department of Pathology Women & Infants’ Hospital and the Warren Alpert Medical School of Brown University Providence USA

struma ovarii often escapes recognition during intraoperative consultation because of its rarity, subtle characteristic gross appearance, and lack of clinical suspicion. An intraoperative diagnosis of benign struma ovarii enables the general gynecologic surgeon to continue the planned surgery. However, a diagnosis of malignnancy in a struma ovarii would alter the course of surgery with the involvement of a gynecologic oncology surgeon. We present here that our experience with intraoperative consultation for preoperatively undiagnosed struma ovarii presenting as an adnexal cystic or solid mass at our teaching hospital. Fifty-three cases of struma ovarii, 5.2% of all cystic teratoma of the same period, were diagnosed between January 1991 and March 2011. All intraoperative consultation reports, gross descriptions and final pathology reports were reviewed. The H&E stained slides and in selected cases, immunohistochemistry stained slides, were reviewed. Of the 53 cases of struma ovarii, intraoperative consultation was requested on 48 cases. Frozen section was done on 24 cases and only gross examination was felt appropriate in remaining 24 cases. 83% cases were diagnosed when a frozen section was done. None of the remaining 24 cases were recognized as struma by gross inspection. Our findings reveal that in a large number of cases the diagnosis of struma ovarii remained unrecognized during intraoperative consultation, indicating its often subtle/deceptive gross morphologic appearance. However, the purpose of the intraoperative consultation was served, as appropriate information was provided to the surgeon to guide the surgical management.

关键词： struma Ovarii Intraoperative Consult Ovarian Cyst

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A Case of struma Ovarii Diagnosed by Cytology during Laparoscopic Surgery

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Open Journal of Pathology 2019年第1期9卷 1-9页

作者： Kenji Niwa Motoki Takenaka Tsuneo Ishihara Sakae Mori Keigo Kuwabara Saki Murase Yoshio Yamaguchi Takuji Tanaka Department of Obstetrics & Gynecology Gujo City Hospital Gujo City Japan Department of Obstetrics & Gynecology Gifu University School of Medicine Gifu City Japan Section of Laboratory Medicine Gujo City Hospital Gujo City Japan Department of Diagnostic Pathology & Research Center of Diagnostic Pathology Gifu Municipal Hospital Gifu City Japan

We report a case of pure struma ovarii tumor diagnosed by cytology during laparoscopic surgery. The patient was a 34-year-old Japanese woman, gravida 1, para 1, who had the left adnexal mass, and was pre-operatively diagnosed as left ovarian endometriotic cyst or mature cystic teratoma by magnetic resonance imaging findings. She underwent laparoscopy, and the content of the left ovarian cystic tumor was found to be yellow gelatinous material, suggesting mature cystic teratoma. The imprint cytology of the tumor showed benign glandular pattern, suggesting struma ovarii. Histopathological findings led us to the diagnosis of pure struma ovarii with positive reactions for thyroglobulin and thyroid transcription factor-1. No metastases or disseminated lesions were detected. The patient has no recurrent signs 7 months after the operation.

关键词： struma Ovarii Cytology Immunocytochemistry Immunohistochemistry Thyroglobulin Thyroid Transcription Factor-1

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