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CASE REPORT
Year : 2019  |  Volume : 16  |  Issue : 1  |  Page : 48-50

Follicular variant of papillary carcinoma thyroid occurring in struma ovarii


1 Department of Nuclear Medicine, All India Institute of Medical Sciences, New Delhi, India
2 Department of Radiation Oncology, All India Institute of Medical Sciences, New Delhi, India
3 Department of Surgical Oncology, All India Institute of Medical Sciences, New Delhi, India
4 Department of Pathology, All India Institute of Medical Sciences, New Delhi, India

Correspondence Address:
Dr. Nishikant Avinash Damle
Department of Nuclear Medicine, All India Institute of Medical Sciences, New Delhi - 110 029
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/trp.trp_41_18

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We present the case of a 35-year-old female who presented with abdominal pain and irregular menstrual bleeding. The patient was found to have a left adnexal lesion on ultrasonography and contrast-enhanced computed tomography. Based on the preoperative imaging and biochemical workup, a left ovarian cystectomy was done. Histopathology (HPE) revealed follicular variant of papillary carcinoma thyroid in a background of struma ovarii. The patient then underwent total thyroidectomy. HPE showed no malignancy in the thyroid gland. After achieving the desired level of thyroid-stimulating hormone, postoperatively, the patient underwent a diagnostic I-131 whole-body scan (WBS) which revealed remnant thyroid tissue in the neck only. The patient's remnant thyroid tissue was ablated with I-131. Follow-up at 6-month interval revealed normal ultrasound pelvis, no abnormal uptake in diagnostic I-131 WBS and serum thyroglobulin (Tg), and anti-Tg antibody levels within normal range.


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