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Related Concept Videos

Ovaries01:26

Ovaries

715
The ovaries are roughly the size of almonds and measure approximately 2 to 3 centimeters in length. These paired structures are situated within the pelvic region and are anchored by the mesovarium—a peritoneal extension that also connects them to the wider structure of the broad ligament. The support system extends to the suspensory ligament, housing blood and lymphatic vessels. In addition, the ovarian ligament tethers the ovaries to the uterus.
On the ovarian surface, a layer of...
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Infertility in Females01:28

Infertility in Females

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Female infertility is defined as the inability to conceive after a year of regular, unprotected intercourse and affects about 10–15% of couples worldwide. The primary cause of female infertility is ovulatory disorders, which hinder the release of eggs. These disorders can be classified as hypothalamic amenorrhea, polycystic ovarian syndrome (PCOS), premature ovarian failure, and hyperprolactinemic anovulation disorders.
Endometriosis, a condition characterized by abnormal growth of...
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Updated: Jun 10, 2025

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Struma Ovarii: Single Center Experience.

Serkan Erkan1, Hakan Yabanoglu1, Tevfik Avci1

  • 1Department of General Surgery, Baskent University, Adana Dr. Turgut Noyan Application and Research Center, Adana, Türkiye.

Sisli Etfal Hastanesi Tip Bulteni
|October 16, 2024
PubMed
Summary

Struma ovarii (SO), a rare ovarian tumor, requires tailored treatment. Malignant SO cases necessitate comprehensive management including surgery, thyroidectomy, and radioactive iodine ablation for optimal outcomes.

Keywords:
Ovarian cancerovarian diseaseovarian struma

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Area of Science:

  • Gynecologic Oncology
  • Endocrinology
  • Pathology

Background:

  • Struma ovarii (SO) is a rare ovarian neoplasm, typically a monodermal teratoma composed of thyroid tissue, accounting for about 1% of ovarian tumors.
  • Clinical presentation and management strategies for SO, particularly malignant forms, require further elucidation.

Purpose of the Study:

  • To present clinical experience with a case series of Struma ovarii.
  • To contribute to the existing treatment algorithm for Struma ovarii.

Main Methods:

  • Retrospective review of 19 patients aged 17 and older diagnosed with SO between January 2012 and January 2022.
  • Data collected included demographics, clinical presentation, imaging, tumor characteristics, surgical procedures, pathology, adjuvant treatments, and follow-up.

Main Results:

  • The median age of patients was 41.7 years; 3 cases (15.8%) were malignant Struma ovarii.
  • Benign SO was managed with tumor enucleation; malignant SO required unilateral salpingo-oophorectomy, total thyroidectomy, radioactive iodine ablation, and L-Thyroxine suppression.
  • No mortality was observed during the follow-up period.

Conclusions:

  • Conservative management is suitable for benign Struma ovarii.
  • Management of malignant Struma ovarii remains controversial, with fertility-sparing surgery, thyroidectomy, and radioactive iodine ablation suggested for young women.