Struma ovarii with serous cyst adenoma: a rare case report

Authors

  • Anjali Department of Obstetrics and Gynaecology, Guru Gobind Singh Hospital, West Delhi, India
  • Mrinalini Mani Department of Obstetrics and Gynaecology, Guru Gobind Singh Hospital, West Delhi, India
  • Anupam Nidhi Department of Obstetrics and Gynaecology, Guru Gobind Singh Hospital, West Delhi, India
  • Disha Bansal Department of Obstetrics and Gynaecology, Guru Gobind Singh Hospital, West Delhi, India https://orcid.org/0000-0002-0402-083X

DOI:

https://doi.org/10.18203/2320-1770.ijrcog20251595

Keywords:

Ovarian torsion, Struma ovarii, Serous cystadenoma, Salpingo-oopherctomy, Ovarian tumor, Adenoma, Ovarian neoplasm

Abstract

Struma ovarii is a rare ovarian teratoma of mono dermal variant constituting 1-4% of all benign teratoma. Any ovarian teratoma is called struma ovarii only when it consists of at least 50% thyroid tissue. Its coexistence is extremely uncommon with serous cystadenoma with only a handful of cases reported till date. Hereby we present a rare case of 36 years old women with hypothyroidism presented to our OPD with pain abdomen for past 3 months and ovarian mass. Clinicoradiologically possibility of an endometrioma was considered. Histopathological examination revealed coexisting double pathologies; of which struma ovarii was an incidental finding. This case is important, not only being rare, but it also highlights the importance of careful and extensive histopathological examination even in a seemingly simple cystic lesion of the ovary to avoid missing concomitant focal pathologies.

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References

Joy J, Soman SV, Philip T, John AM, Joseph E. A storm with a Twist- torsion of stuma ovarii causing thyrotoxic storm. Endocr Metab Sci. 2020;100066. DOI: https://doi.org/10.1016/j.endmts.2020.100066

Kabukcuoglu F, Baksu A, Yaimaz B, Alpay A, Ismail E. Malignant struma ovarii. Pathol Oncol Res. 2002;8(2):145-7. DOI: https://doi.org/10.1007/BF03033726

Talerman A. Germ cell tumors of the ovary. In: Kurman RJ, ed. Blaustein’s Pathology of the Female Genital Tract. 4th ed. New York: Springer-Verlag. 1994;849-914. DOI: https://doi.org/10.1007/978-1-4757-3889-6_20

Ayhan A, Yanik F, Tuncer R, Tuncer ZS, Ruacan S. Struma ovarii. Int J Gynecol Obstet. 1993;42(2):143-6. DOI: https://doi.org/10.1016/0020-7292(93)90628-A

Dhingra KK, Jain P, Garg A, Khurana N. Coexistent Struma Ovarii and Serous Cystadenofibroma in the Same Ovary. Int J Gynecological Pathol. 2009;28(3):231-3. DOI: https://doi.org/10.1097/PGP.0b013e31818e531b

Bhardwa S, Goyal S, Yadav A, Batra A, Goyal A. Concomitant struma ovarii with serous cystadenoma in a background of tuberculosis: A rare and interesting presentation. Clin Case Rep Rev. 2017;3(8):1-3. DOI: https://doi.org/10.15761/CCRR.1000357

Wei S, Baloch ZW, LiVolsi VA. Pathology of Struma Ovarii: A Report of 96 Cases. Endocr Pathol. 2015;26(4):342-8. DOI: https://doi.org/10.1007/s12022-015-9396-1

Terada T. Coexistence of struma ovarii and serous cystadenoma of the ovary. Int J Gynecol Pathol. 2012;31(2):149-50. DOI: https://doi.org/10.1097/PGP.0b013e318230f1c5

Kataria SP, Batra A, Singh G, Boombak E, Sen R, Singh S. Serous cystadenoma associated with cystic struma ovarii: a rare entity. J Gynecologic Surg. 2014;30:58-60. DOI: https://doi.org/10.1089/gyn.2013.0064

Rojekar AV, Fernandes GC. A Rare Case Report Of Cystic Struma Ovarii with Co-Existing Serous Cystadenoma. JPGO. 2015;3(5):NA.

Tang P, Soukkary S, Kahn E. Mature cystic teratoma of the ovary associated with complete colonic wall and mucinous cystadenoma. Ann Clin Lab Sci. 2003;33:465-70.

McKenney JK, Soslow RA, Longacre TA. Ovarian mature teratomas with mucinous epithelial neoplasms: morphologic heterogeneity and association with pseudomyxoma peritonei. Am J Surg Pathol. 2008;32:645-55. DOI: https://doi.org/10.1097/PAS.0b013e31815b486d

Nomura K. Mucin histochemistry of ovarian mucinous cystadenomas expressing gastrointestinal characteristics. Pathol Int. 1995;45:430-3. DOI: https://doi.org/10.1111/j.1440-1827.1995.tb03480.x

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Published

2025-05-29

How to Cite

Anjali, Mani, M., Nidhi, A., & Bansal, D. (2025). Struma ovarii with serous cyst adenoma: a rare case report. International Journal of Reproduction, Contraception, Obstetrics and Gynecology, 14(6), 1980–1982. https://doi.org/10.18203/2320-1770.ijrcog20251595

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Section

Case Reports