Papillary thyroid carcinoma within a mature cystic ovarian teratoma.

IF 1.1 Q2 MEDICINE, GENERAL & INTERNAL

Wiener medizinische Wochenschrift Pub Date : 2023-06-01 DOI:10.1007/s10354-023-01016-6

Filip Medić, Antonio Ivan Miletić, Antonia Jakovčević, Dubravko Habek

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引用次数: 1

Abstract

Mature cystic ovarian teratoma (dermoid cyst) is the most common germ cell tumor. Malignant tissue alteration in mature cystic teratoma is extremely rare, and malignant proliferation of thyroid tissue has been documented in only a few cases. This article presents a case of incidentally detected papillary microcarcinoma (PTMC) within a mature cystic ovarian teratoma. A 42-year-old patient with an ultrasound-suspected dermoid cyst was indicated for surgical treatment. Laparoscopic adnexectomy was performed, and a cystic-solid tumor 3.5 cm in diameter was removed entirely. Pathohistological analysis confirmed the diagnosis of a mature cystic teratoma with a PTMC 0.3 cm in diameter. Afterward, the patient underwent additional investigations with an oncologic radiotherapist and endocrinologist. Thyroid ultrasound, thyroglobulin serum levels, anti-thyroglobulin antibodies, thyroid scintigraphy, and abdominal positron emission tomography (PET) scan were performed to exclude disease dissemination. All results were with no findings of other disease seed/metastasis, and the patient will be followed up regularly by a gynecologist and endocrinologist.

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成熟囊性卵巢畸胎瘤内的乳头状甲状腺癌。

成熟卵巢畸胎瘤(皮样囊肿)是最常见的生殖细胞肿瘤。成熟囊性畸胎瘤的恶性组织改变极为罕见，甲状腺组织的恶性增殖仅在少数病例中被记录。本文报告一例偶然发现的乳头状微癌(PTMC)在一个成熟的卵巢畸胎瘤。一个42岁的病人超声怀疑皮样囊肿是指手术治疗。行腹腔镜附件切除术，切除直径3.5 cm的囊性实体瘤。病理组织学分析证实为成熟囊性畸胎瘤，PTMC直径0.3 cm。之后，患者接受了肿瘤放射治疗师和内分泌学家的额外检查。通过甲状腺超声、甲状腺球蛋白血清水平、抗甲状腺球蛋白抗体、甲状腺显像和腹部正电子发射断层扫描(PET)来排除疾病传播。所有结果均未发现其他疾病种子/转移，患者将由妇科医生和内分泌科医生定期随访。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Wiener medizinische Wochenschrift MEDICINE, GENERAL & INTERNAL-

CiteScore

2.50

自引率

0.00%

发文量

期刊介绍： ''From the microscope to clinical application!'', Scientists from all European countries make available their recent research results and practical experience through Wiener Medizinische Wochenschrift, the renowned English- and German-language forum. Both original articles and reviews on a broad spectrum of clinical and preclinical medicine are presented within the successful framework of thematic issues compiled by guest editors. Selected cutting-edge topics, such as dementia, geriatric oncology, Helicobacter pylori and phytomedicine make the journal a mandatory source of information.