Conservative treatment of a young patient with thyroid carcinoma in adult ovarian teratoma – case report
| Autor: | Olgierd Ashuryk, Aneta Cymbaluk-Płoska, Janusz Menkiszak, Anita Chudecka-Głaz, Maria Chosia |
|---|---|
| Rok vydání: | 2014 |
| Předmět: |
Adult
medicine.medical_specialty Pathology Hormone Replacement Therapy Endocrinology Diabetes and Metabolism medicine.medical_treatment Ovary Neoplasms Multiple Primary Thyroid carcinoma Young Adult Endocrinology medicine Humans Neoplastic transformation Thyroid Neoplasms Ovarian Teratoma Pathological Gynecological surgery Ovarian Neoplasms business.industry Teratoma Fertility Preservation Obstetrics and Gynecology medicine.disease Carcinoma Papillary Conservative treatment Thyroxine Treatment Outcome medicine.anatomical_structure Dermoid cyst Female Radiology business |
| Zdroj: | Gynecological Endocrinology. 30:187-191 |
| ISSN: | 1473-0766 0951-3590 |
| DOI: | 10.3109/09513590.2013.860122 |
| Popis: | The cystic mature teratomas, including dermoid cysts, are one of the most frequently occurring benign ovarian tumors diagnosed in female patients. The process of neoplastic transformation in mature dermoid cysts is applicable only to 1-2% of cases. In our article, we present a rare case of thyroid carcinoma development in adult teratoma in 21-year-old patient. The young age, certain pathomorphological features and clinical data (small size of neoplastic lesion, correct values of tumour markers, unilateral character, regular levels of thyreoglobulin and absence of any significant deviations in imaging examinations), were the basis for attempting to apply the conservative treatment both in the scope of gynecological surgery and in the supplemental endocrinological therapy. In the patient, the one-sided adnexectomy was performed, considering pathological lesions on the adnexa, as well as the other ovary dermoid cyst was enucleated, without the hysteroctomy procedure. Considering the lack of any morphological lesions and functional changes relating to thyroid gland, the treatment was not radicalised in this scope, either. At present, one year after the primary operation treatment, the patient does not manifest any disease symptoms, whereas the other ovary, in the follow-up ultrasound examinations, shows normal size and echostructure. The thyroid-stimulating hormone (TSH) suppression keeps being applied. |
| Databáze: | OpenAIRE |
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