摘要
Abstract
Objective To explore the clinical manifestation and laboratory test results of patients with thyroid dysfunction and malignant struma ovarii, to enhance the understanding of the disease. Methods A patient with thyroid dysfunction and malignant struma ovarii was admitted to the Fourth Affiliated Hospital of Guangxi Medical University on 29 April 2015, the data of the case were analyzed retrospectively.To further understand coexistence of thyroid dysfunction and malignant struma ovarii by literature retrieval.Results Struma ovarii is more common in perimenopausal women and on unilateral side, and most of them are benign, multiple metastases are rarely seen.The onset age of this case is identical with the onset age recorded in literatures, the lesion is highly malignant and multiple metastases are observed, and the case is clinically very rare because of the existence of thyroid dysfunction.Conclusion Struma ovarii can cause hyperthyroidism, possible sources of thyroxine: high functional ovarian thyroid tissue, high functional thyroid and struma ovarii, thyroid tissue secretion combined with non functional ovarian goiter; for hyperthyroidism caused by struma ovarii, the iodine uptake rate in pelvic cavity should be high and the iodine uptake rate in the neck should be low; the diagnosis of struma ovarii combined with hyperthyroidism is relatively difficult, the disease always is paid more attention to due to repeated recurrence of hyperthyroidism, non functional struma ovarii is more likely to cause missed diagnosis; functional ovarian thyroid is similar to ectopic thyroid gland hyperactive adenoma, and can secrete thyroid hormone, thus can inhibit thyroid function, but struma ovarii secrets triiodothyronine ( T3 ) mainly, the abnormal thyroid function performance such as increased levels of TT3 and FT3 , and decreased levels of TSH, TT4 and FT4 may exist, all of these findings warrant further research.关键词
卵巢甲状腺肿/甲状腺功能亢进症/病例报告/历史文献Key words
Struma ovarii/Hyperthyroidism/Case reports/Historical article分类
医药卫生
