Struma Ovarii during Pregnancy

Struma ovarii is a rare type of ovarian teratoma primarily composed of over 50% thyroid tissue. Its occurrence is reported in 2–5% of all ovarian teratomas, with approximately 0.5% to 10% showing malignant transformation. Managing it during pregnancy poses significant challenges as pregnancy can pro...

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Published inDiagnostics (Basel) Vol. 14; no. 11; p. 1172
Main Authors Dumachița-Șargu, Gabriela, Socolov, Răzvan, Balan, Teodora Ana, Gafițanu, Dumitru, Akad, Mona, Balan, Raluca Anca
Format Journal Article
LanguageEnglish
Published Basel MDPI AG 01.06.2024
MDPI
Subjects
Ascites
Care and treatment
Cysts
Diagnosis
Estrogen
Health aspects
Hyperthyroidism
Magnetic resonance imaging
Metastasis
Mutation
Obstetrical research
Ovarian tumors
Ovaries
Physiological aspects
Placental hormones
Pregnancy
Pregnant women
Progesterone
Review
struma ovarii
Thyroid cancer
thyroid carcinoma
Tumors
Ultrasonic imaging
Ultrasound imaging
Romania
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Summary:Struma ovarii is a rare type of ovarian teratoma primarily composed of over 50% thyroid tissue. Its occurrence is reported in 2–5% of all ovarian teratomas, with approximately 0.5% to 10% showing malignant transformation. Managing it during pregnancy poses significant challenges as pregnancy can promote the growth of malignant struma ovarii due to elevated levels of ovarian and pregnancy-related hormones, including estrogen, progesterone, and human chorionic gonadotrophin (hCG). Most ovarian tumors, including struma ovarii, are detected during routine ultrasonography in the first and second trimesters, often as acute emergencies. Diagnosis during pregnancy is rare, with some cases incidentally discovered during cesarean section when inspecting the adnexa for ovarian cysts. This review explores the diagnostic, management, and therapeutic approaches to struma ovarii during pregnancy.
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These authors contributed equally to this work.
ISSN:2075-4418
2075-4418
DOI:10.3390/diagnostics14111172