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  • Title: Papillary carcinoma in struma ovarii: an unusual presentation.
    Author: Tomee JF, van der Heijden PF, van den Hout JH, Brinkhuis M, Veneman TF.
    Journal: Neth J Med; 2008 Jun; 66(6):248-51. PubMed ID: 18689908.
    Abstract:
    Struma ovarii is the presence of thyroid tissue as the major cellular component in an ovarian tumour. Papillary carcinoma in struma ovarii is exceptionally rare. We report a case of papillary carcinoma in struma ovarii in a postmenopausal 51-year-old female who initially presented clinically with hyperthyroidism. Serology, however, did not confirm hyperthyroidism. During a re-admission to our hospital later that year she appeared to have had periods of postmenopausal vaginal haemorrhage. An abdominal mass was located by radiography and pathological investigation revealed a papillary carcinoma in struma ovarii. Some striking features of this unusual presentation of importance to the internal medicine physician are discussed.
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