Name
STRUMA OVARII
DESCRIPTION
DETAIL
* ULTRA SOUND EXAM FOR PELVIC MASS LESION * CA-125 - TO RULE OUT OVARIAN CANCER IN PELVIC MASS * IODINE 131 SCANNING TO EVALUATE ACTIVE THYROID TISSUE IN PELVIC CAVITY * TRIPPLE CONTRAST CT SCAN OF ABDOMEN
TYPENOTES
MEDICAL TREATMENT : Ablation with iodine-131 has been advocated as adjunctive therapy if pathological examination or staging suggests malignant transformation. Repeat treatment is still therapeutic if recurrence is detected. Surgical Care: Definitive therapy depends on the extent of preoperative disease and the future childbearing wishes of the patient. Since most cases are unilateral and benign, simple oophorectomy is appropriate for most patients. If the contralateral ovary is involved or if the patient has finished childbearing, total hysterectomy with bilateral salpingo-oophorectomy is appropriate. If evidence of peritoneal metastasis is present, appropriate debulking is indicated. In patients with thyroid involvement, a concomitant thyroidectomy has been advocated. Preoperative details Symptoms of thyroid involvement are rare, thus preoperative thyroid testing or thyroid scanning is unlikely to have occurred. Most cases are found incidentally. Intraoperative details Most cases are found as part of a mature teratoma. Standard surgical resection is sufficient. Postoperative details Postoperative changes in thyroid function can range from hypothyroidism to thyroid storm. Stimulating antibody release has been implicated in hyperthyroid cases.
RELATED DISEASE
Not Available Disease
DISEASE
INVESTIGATION
ULTRA SOUND WHOLE ABDOMEN - FEMALE, COMPLETE BLOOD COUNT, CT SCAN ABDOMEN, CA-125, IODINE-131 WHOLE BODY IMAGING, THYROID PROFILE