Goitres ovariens  bénins : à propos de 7 cas et analyse de la littérature

Conclusions Le goitre ovarien est une pathologie rare, souvent asymptomatique, et de diagnostic difficile. Peu de séries sont décrites dans la littérature. Nous proposons ici un modèle de prise en charge du goitre ovarien. Une reprise chirurgicale et un traitement adjuvant est indiqué en cas de malignité du goitre ovarien. Objective Struma ovarii is a monodermal teratoma composed of thyroid tissue, representing 0.85 to 1.3% of ovarian tumors. The objective of the present study is to report a continuous series of struma ovarii, with a comprehensive analysis of the literature. Methods A retrospective study in the gynecological surgery department of Hôpital Femme–Mère–Enfant (Hospices Civils de Lyon, Lyon, France) assessed a continuous series of struma ovarii from the Lyon East Pathology Center database. Clinical and biological, imaging and pathological aspects were analyzed and the various forms of treatment described. Results We identified 7 patients with struma ovarii from March 2008 to April 2015. Mean patient age was 49.7 years (28–70years). Three patients had a history of thyroid disease. CA-125 was elevated (51IU/mL) in only 1 patient. MRI and ultrasound imaging did not enable diagnosis of struma ovarii, which depended on pathologic examination. Conservative surgery for cystectomy or oophorectomy was performed for patients wishing to become pregnant (71%); nonconservative hysterectomy was performed in postmenopausal women (29%). Conclusions Struma ...
Source: Gynecologie Obstetrique and Fertilite - Category: OBGYN Source Type: research