Hypothyroidism following struma ovarii tumor resection: a case report

• Autor(a) principal: Carvalho,Jesus Paula
• Data de Publicação: 2002
• Outros Autores: Carvalho,Filomena Marino, Oliveira,Flávia Fairbanks Lima de, Camargo,Rosalinda Yossie Asato de
• Tipo de documento: Relatório
• Idioma: eng
• Título da fonte: Revista do Hospital das Clínicas
• Texto Completo: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0041-87812002000300006
• topic: Ovarian neoplasms; Struma ovarii; Hypothyroidism

Struma ovarii is an infrequent ovarian tumor, and there are only few reports with detailed data of thyroid function. In several cases, malignant struma ovarii have been shown to produce hyperthyroidism, but there is no reported case of hypothyroidism following struma ovarii tumor resection. A 62-year-old white woman underwent right ovary resection that had a pathologic diagnosis of struma ovarii. After 6 days, she developed weakness, myalgia, somnolence, nausea, and arterial hypotension. Laboratory tests showed a high level of thyroid-stimulating hormone (TSH) and a decreased level thyroxin. Thyroxin replacement therapy was initiated, and the patient became completely asymptomatic. This is the first reported case of a previously asymptomatic woman who developed a definite clinical hypothyroidism after resection of a struma ovarii tumor.