Abstract

Struma ovarii is an uncommon ovarian teratoma distinguished by the unusual presence of thyroid tissue. The vast majorities are benign, and ~5% are malignant. Clinical symptoms, laboratory investigations, imaging modalities are nonspecific. Even histopathologic features may be misleading in a few cases. It is defined as a teratoma composed exclusively of or containing more than 50% thyroid tissue. Common differentials include serous and mucinous cystadenoma. Awareness of existence of such entities may help in utilization of available histologic and imunohistochemical tools for correct diagnosis. Oophorectomy is the treatment of choice for benign struma. Keywords: Struma ovarii, thyroid, teratoma, cystadenoma

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