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- J F C Tomee, P F M van der Heijden, J H W van den Hout, M Brinkhuis, and Th F Veneman.
- Department of Internal Medicine, Twenteborg Hospital, Almelo, The Netherlands.
- Neth J Med. 2008 Jun 1; 66 (6): 248-51.
AbstractStruma 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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