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Hypothyroidism Presenting as Ovarian Cysts-a Case Series
Anila Tresa1, Prabhakaran Rema1, S Suchetha1
1Division of Gynecological Oncology, Regional Cancer Centre, Thiruvananthapuram, Kerala India.
Severe hypothyroidism can cause ovarian cysts that mimic malignancy. Prompt diagnosis and thyroxine treatment led to cyst resolution, highlighting hypothyroidism in the differential diagnosis for ovarian masses.
Area of Science:
- Endocrinology
- Gynecology
- Oncology
Background:
- Endocrine disorders are a known cause of ovarian cysts.
- Hypothyroidism is an uncommon cause of ovarian cysts.
- Ovarian cysts due to hypothyroidism can mimic malignancy.
Observation:
- Three cases of ovarian masses suspected to be malignant were reported.
- Patients were diagnosed with severe hypothyroidism.
- Thyroxine supplementation was initiated for all patients.
Findings:
- Dramatic symptomatic relief was observed after thyroxine treatment.
- Subsequent imaging showed resolution of the ovarian masses.
- Bilateral multicystic adnexal masses resolved with hypothyroidism treatment.
Implications:
- Hypothyroidism should be considered in the differential diagnosis of ovarian masses.
- Considering hypothyroidism can prevent unnecessary surgical interventions.
- Early diagnosis and treatment of hypothyroidism are crucial for managing associated ovarian cysts.
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