Abstract
Ovarian goitre is classified within the category of single-tissue teratomas and represents a rare subtype of ovarian tumor. The histological identification of malignant variants has historically been contentious and inadequately assessed, primarily due to the lack of standardized diagnostic criteria and the tumor's infrequency. We present a case involving bilateral metastatic struma ovarii initially managed with conservative surgery, involving cystectomy on one side and radical oophorectomy on the other, as it was initially deemed benign. However, malignant transformation occurring seven years later necessitated a subsequent surgical intervention and adjunctive iratherapy.
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