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The Korean Journal of Pathology 1994;28(4): 436-438.
Malignant Struma Ovarii: A case report.
Ki Jung Yun, Hyang Jeong Jo, Weon Cheol Han, Hyung Bae Moon
Department of Pathology, Wonkwang University Medical School, Iri, Korea.
ABSTRACT
Malignant struma ovarii is a rare tumor of the ovary. This can be diagnosed by histologically when carcinomas of the thyroid gland are excluded. We present a case of malignant struma ovarii arising from cystic teratoma. A 42-year-old female was admitted for evaluation of lower abdominal mass. Hysterectomy and both adnexectomy were performed on the basis of a clinical impression of uterine leiomyoma and an ovarian mass. The uterus revealed intramural leiomyoma, measuring 8 cm in diameter. Ovarian mass was predominantly cystic and partly solid. Microscopically, thyroid tissue with papillary structures were found in the solid area Papillae were complex, branching and randomly oriented. These papillae were infiltrated in the adjacent fibrous capsule, Clinical evidence of a primary thyroid carcinoma was not found.
Key Words: Malignant struma ovarii; Cystic teratoma
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