Struma Ovarii
- The term 'struma' is reserved for cases in which thyroid tissue is the predominant or sole component or forms a grossly recorgnizable tumor in a teratoma.
- The peak frequency is in the fifth decade, but occasional cases occur much earlier or later. When clinically significant (many are incidental findingsin a resected dermoid), the presentation is similar to that of any ovarian mass. In rare cases, however, there is clinical evidence of hyperthroidism.
- Ascites is present in as many as a third of cases, and occasionally is accompanied by Meigs' syndrome. The association of a pelvic mass, ascites, and an elevated serum level of CA-125 can mimic ovarian cancer.
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