Iztok Takač (Author), Darja Arko (Author), Ludvik Puklavec (Author), Rajko Kavalar (Author), Anton Crnjac (Author)

Abstract

Struma jajčnika je redka oblika tumorja zarodnih celic, ki predstavlja redek vzrok ektopičnega izločanja ščitničnih hormonov. Poročamo o primeru laparoskopskega zdravljenja strume jajčnika. Pri 49-letni bolnici, ki je bila zaradi Gravesove bolezni predhodno zdravljena z ablativno operacijo in radioaktivnim jodom, se je nepričakovano pojavil hipertiroidizem. Scintigrafija telesa z 131J je pokazala povečano aktivnost v medenici in s tem nakazavala na strumo jajčnika. Bolnico smo zdravili z laparoskopsko običajno adneksektomijo. V pooperativnem poteku ni bilo posebnosti. Histopatološka preiskava je pokazala prisotnost benigne strume jajčnika. Trenutno je bolnica brez znakov bolezni in prejema ščitnično nadomestno zdravljenje z levotiroksinom. V obravnavanem primeru amo še pred operacijo ugotovili diagnozo tirotoksične strume jajčnika, laparoskopska operacija pa se je izkazala za koristno in zanesljivo metodo za odstranitev jajčnika.

Keywords

struma jajčnika;hipertiroidizem;laparoskopska operacija;

Data

Language: English
Year of publishing:
Typology: 1.01 - Original Scientific Article
Organization: UM - University of Maribor
Publisher: Medicinska fakulteta
UDC: 618.11
COBISS: 3327295 Link will open in a new window
ISSN: 1855-5640
Parent publication: Acta medico-biotechnica
Views: 12
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Other data

Secondary language: Slovenian
Secondary title: Thyrotoxic struma ovarii after thyroid ablation: a case report of laparoscopic management
Secondary abstract: Struma ovarii is a rare type of germ cell tumor and a rare cause of ectopic thyroidal hormonal production. We report a case of laparsocopic management of a thyrotoxic struma ovarii. In a 49-year-old patient, previously treated by ablative surgery and radioactive iodine for Graves' disease, a new onset of hyperthyroidism occurred unexpectedly. A whole-body scan with 131I detected increased pelvic uptake, suggesting struma ovarii. The patient was subsequently treated with laparoscopic bilateral salpingo-oophorectomy. The postoperative course was uneventful. Histopathologic examination revealed the presence of a benign struma ovarii. Three years after treatment the patient is disease free and is receiving thyroid replacement therapy with levothyroxine. In this case the thyrotoxic struma ovarii was diagnosed preoperatively and laparoscopic surgery proved to be a useful and reliable method for ovarian ablation.
Secondary keywords: Struma Ovarii;Struma jajčnika;Hyperthyroidism;Hipertiroidizem;Laparoscopy;Laparoskopija;
Type (COBISS): Scientific work
Pages: str. 68-72
Volume: ǂVol. ǂ2
Issue: ǂno. ǂ1
Chronology: 2009
ID: 23467838