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Monday, May 30, 2011

Struma Ovarii ...

          Struma Ovarii is the condition in women where , there is presence of a thyroid like tissue ,as a major cellular component in the women’s ovary as ovarian tumour , mostly a teratoma. Among the types of ovarian tumors, the proportion of teratomas ranges widely from 1 – 15 %. Struma Ovarii most commonly occurs between the ages of 45 - 65 years. Women suffering from struma ovarii usually have a pelvic mass, or associated with less frequent hyperthyroidism or ascites.
Struma Ovarii can be defined as , an ovarian tumor in a woman that contains thyroid tissue as its predominant cell types, is termed as struma ovarii. Though it typically occurs as a part of a teratoma, occasionally it may also be encountered with mucinous cystadenomas or serous. , hence the final diagnosis depends on the histo pathological examination of the mass.


Even if malignant transformation of this ovarian tumor is rare, it is mostly defined on histological criteria. Benign struma ovarii is a rare type of thyroid tissue implants throughout the peritoneal cavity. Strumal carcinoid or malignant Struma Ovarii can be defined by the presence of carcinoid tissue within a struma, which is exceptionally a rare case.


A case report of Struma Ovarii is being presented herewith –


       Mrs. J., 21 years old, female was admitted for the complaint of failure to conceive , gradually increasing painless swelling in lower abdomen with excessive , irregular and painful periods since 9 months. Previous cycles were normal .Her general condition was good ,there was no clinical evidence of thyrotoxicosis . Thyroid glands was not enlarged.


On abdominal examination ,a mass was palpable in the lower abdomen about 7 x 6 cm. in size, oval in shape , cystic in consistency and having considerable mobility.


On bimanual examination the External Os was closed , uterus was anteverted , anteflexed , smaller than normal size , mobile.A cystic mass of about 7 x 6 cm. was palpable through the posterior fornix separate from the uterus. Routine laboratory investigations did not reveal any abnormality.
On Laparotomy ,a cyst was found arising from right ovary ,measuring 6 x 7 cm. in size , the surface was greyish blue and lobulated .Fallopian tube of this side was stretched over it and was adherent to the mass. Left ovary was normal .Right sided salpingo - oophorectomy was done.
     On cutting open the tumour ,it was multi-locular containing filled with straw colored ,watery fluid .On microscopic examination thyroid tissue constituted the predominant elements in all the sections. It was in the form of acinii having flattened epithelium with or without reddish pink colloidal material.
The post-operative period was uneventful and patient discharge in satisfactory condition.

- Published in J.of Obst. & Gynae. Of India: 34(1),180.,1984




9 comments:


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डॉ. कपिल गुप्ता said...
आप को शायद याद होगा , बीकानेर में , मैं आपका शिष्य था , दोस्तों से चर्चा के दौरान यह जानकर बहुत ख़ुशी हुई कि आपने स्त्री एवं प्रसूति विषय पर , अनेकों ब्लॉग अंतर्जाल पर , पर उपलब्ध हँ , जिज्ञासा वश मैंने यह ब्लॉग देखा , तो गुरुदेव मैं अचंभित रह गया , ब्लॉग पर उपलब्ध सामग्री देख कर , काफी ख़ुशी हुई , गुरुदेव आप महोदय के बारे मैं इतना ही कहूँगा कि ईश्वर की कृपा से आप हमारा ज्ञान और बढ़ाएं , सादर . - डॉ. कपिल गुप्ता
Prof. Gayatri Vijay said...
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Prof. Jain , J.C. said...
Dr. Raghav , What a beatiful blog , which I have ever seen , Quite informative from subject point of view., The Faculty must take advantage of the material in the blog. You are the asset for the obstetrics and Gynaecology , faculty as a whole in the world. Thanks a lot.
Dr. Taylor. I said...
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Prof. Gupta,O., from Kochi said...
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William Josheph said...
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Mukund Swami said...
Dr. Mukesh Raghav, Being a under graduate student , one of my friend told me to see this blog. Sir, I was thrilled to read it and I am sure this material, if I will go through twice , will help in my practical exams. Regards.
Dr. Manda Singh Gill said...
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Friday, May 20, 2011

डॉ. मुकेश राघव

सभी  महानुभावों ( श्री एवं श्रीमती )  को  ब्लॉग पर टीका टिपण्णीयां करने के लिए धन्यवाद एवं आभार : डॉ. मुकेश राघव

Wednesday, May 18, 2011

COMMENT

HELLO, DR.MUKESH RAGHAV JI AAJ AAPAKABLOG DEKHANE
KA MOUKA MILA ,DIL KHUSHI SE BHAR GAYA KI ETANI
CHHOTI SI JAGAH PAR RAH KAR AAPANE BADI UPLABADIAN
PRAPT KI HAIN,AAPKI KADI MEHANAT SAAF JGALAK RAHI
HAI,I PROUD OF U SIR..
By DR JOGA SINGH KAIT on Post a Comment On:
DR.MUKESH RAGHAV "RAGHAV’S READ... at 10:12 AM

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COMMENT

hi i am surprised by the work...
a knowledge of this aptitutude,

useful for gyno. students
By Harry Jones on DR. MUKESH RAGHAV
on 4/24/09
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Amazing to read a nice blog,
educative one
By DR. KAVIT GOYAL on
DR. MUKESH RAGHAV on 4/23/09

IT IS A NICE BLOG FOR THE STUDENTS
OF OBSTETRICS AND GYNAECOLOGY
By Anonymous on DR. MUKESH RAGHAV
on 4/23/09
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"RAGHAV’S READY RECKONER FOR CALCULATING
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सिद्धार्थ जोशी Sidharth Joshi said...
डॉ. साहब नमस्‍कार
मैं मेडिकल की भाषा या विषय को तो नहीं समझता
लेकिन यह जानकर सुखद आश्‍चर्य हुआ कि बीकानेर
के एसपी मेडिकल कॉलेज से भी एक ब्‍लॉगर है।

April 13, 2009 2:24 AM