CASE REPORT

Toxic Multi Goiter and Struma ovarii Coexistence: Report of a Rare Case
Toksik Multinodüler Guatr ve Struma Ovarii Birlikteliği: Nadir Bir Olgu Sunumu
Received Date : 06 Jan 2021
Accepted Date : 17 Apr 2021
Doi: 10.25179/tjem.2021-81052 - Makale Dili: EN
Turk J Endocrinol Metab. 2021;25:243-248
Bu makale, CC BY-NC-SA altında lisanslanmış açık erişim bir makaledir.
ABSTRACT
Hyperthyroidism is a common disease that often presents with tremors, tachycardia, anxiety, and weight loss. Hyperthyroidism may be caused by several diseases. Ectopic hyperthyroidism that results from excess thyroid hormone synthesis arises from outside the thyroid gland. Struma ovarii is a famous form of this type of hyperthyroidism, which is extremely rare and arises from ectopic thyroid tissue in the ovarian neoplasm. Here, we present a case of a middle-aged woman with established thyrotoxicosis, who was referred owing to the recurrence of thyrotoxicosis after thyroidectomy. Finally, oophorectomy was performed, and she was diagnosed with Struma ovarii. Thus, the clinicians should consider Struma ovarii in women with thyrotoxicosis, without goiter or evidence of Graves’ disease.
ÖZET
Hipertiroidizm, sıklıkla tremor, taşikardi, anksiyete ve kilo kaybıyla ortaya çıkan yaygın bir hastalıktır. Hipertiroidizme çeşitli hastalıklar neden olabilir. Aşırı tiroid hormonu sentezinin yol açtığı ektopik hipertiroidizm, tiroid bezi dışında bir odaktan kaynaklanır. Struma ovarii bu tip hipertiroidizmin en bilinen şeklidir, son derece nadir görülür ve yumurtalık neoplazmasındaki ektopik tiroid dokusundan kaynaklanır. Burada, tiroidektomi sonrası tirotoksikozun tekrarlaması nedeniyle sevk edilen orta yaşlı bir kadın olguyu sunduk. Hastaya ooforektomi yapıldı ve Struma ovarii teşhisi kondu. Guatr veya Graves hastalığı kanıtı olmayan tirotoksikozlu kadınlarda Struma ovarii akla gelmelidir.
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