TITLE:
Strumal Carcinoid of the Ovary: A Report of Two Cases
AUTHORS:
Xue Lin, Neelam K. Shah, Guifeng Jia, Lifeng Cui, Jia Wang
KEYWORDS:
Ovarian Strumal Carcinoid, Germ Cell Tumors, Severe Constipation, Ovarian Tumor, Ovarian Goiter, Case Report
JOURNAL NAME:
Open Journal of Obstetrics and Gynecology,
Vol.11 No.10,
October
20,
2021
ABSTRACT: We
describe two cases of strumal carcinoid of ovary, which is an extremely rare
ovarian germ cell tumor composed of an intimate mixture of thyroid and
carcinoid tissues. The first case involved a 63-year-old woman, who presented with a 1-month history of abdominal distension and
unintentional weight loss (5 kg). Abdominal and chest computed
tomography revealed right ovarian tumor and bilateral pleural effusion. Her
thyroid-stimulating hormone level was slightly lower 0.475 μIU/mL (normal
range: 0.55 - 4.78 μIU/mL); however, the
levels of FT3 and FT4 were normal. Intraoperatively, the right ovary was
enlarged (8.0 cm × 7.0 cm), with a smooth surface and intact capsule. Bilateral salpingo-oophorectomy with a total
abdominal hysterectomy and an
appendectomy was performed. The second case was a 54-year-old woman, in
whom pelvic mass was recognized 2 months before. Intraoperatively, the left
ovary was dumbbell-shaped (20.0 cm × 9.0 cm × 9.0 cm) and connected to two
masses (9.0 cm × 8.0 cm and 8.0 cm × 7.0 cm, respectively). Her thyroid
function test was normal (0.70 μIU/mL). Total abdominal hysterectomy, partial omentectomy,
and pelvic adhesion lysis were performed. In both patients, intraoperative
frozen section suggested strumal carcinoid of the ovary (stage IA). Ovarian
strumal carcinoid should be included in a differential diagnosis of adnexal
masses. The prognosis is considered good.