Abstract
We report the case of a 35-year-old nulliparous woman, with a previous history of ovarian cystectomy diagnosed 3 years earlier due a struma ovarii type of monodermal teratoma in the right ovary and a hemorrhagic cyst in the left ovary. Progressive growth of the left adnexal mass was observed in the periodic medical check-ups. Due to this, a second laparoscopy was performed and, based on the findings, a left ovarian cystectomy, right salpingectomy and resection of multiple peritoneal implants were carried out. The pathology diagnosis was left struma ovarii and peritoneal strumosis. A whole body and SPECT/CT scan with (99m)Tc-pertechnetate was performed to detect possible peritoneal implants. This study helped to make the therapeutic decision.
Copyright © 2011 Elsevier España, S.L. y SEMNIM. All rights reserved.
MeSH terms
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Adult
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Female
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Goiter / complications
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Goiter / diagnostic imaging
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Goiter / radiotherapy
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Hemorrhage / etiology
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Hemorrhage / surgery
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Humans
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Incidental Findings
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Iodine Radioisotopes / therapeutic use
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Multimodal Imaging*
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Ovarian Cysts / complications
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Ovarian Cysts / surgery
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Ovarian Neoplasms / complications
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Ovarian Neoplasms / diagnostic imaging
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Ovarian Neoplasms / pathology*
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Ovarian Neoplasms / surgery
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Ovariectomy
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Peritoneal Neoplasms / diagnostic imaging
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Peritoneal Neoplasms / secondary*
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Peritoneal Neoplasms / surgery
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Positron-Emission Tomography*
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Radiopharmaceuticals* / therapeutic use
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Salpingectomy
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Sodium Pertechnetate Tc 99m*
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Struma Ovarii / complications
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Struma Ovarii / diagnostic imaging
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Struma Ovarii / secondary*
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Struma Ovarii / surgery
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Tomography, X-Ray Computed*
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Whole Body Imaging*
Substances
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Iodine Radioisotopes
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Radiopharmaceuticals
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Sodium Pertechnetate Tc 99m