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[Ovarian thyroid].

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Adolescent↗

[2 cases of ovarian struma].

The authors present two patients, aged 48 and 54 respectively, treated surgically for the alleged tumor of the ovary which histologically proved to be the struma of the ovary. In one patient the tumor behave as a benign one, while in the other there was also ascites--simpto mof malignant tumour. After surgery all disorders disappeared in both patients.

Female↗

[Ovarian struma].

The paper presents a histological and electron microscopic description of the ovarian struma having the structure of thyroid tissue and consisting predominantly of A cells with the ultrastructural features typical of this cell species.

Female↗

Calcitonin-secreting ovarian strumal carcinoid.

A 3-mm strumal carcinoid was found incidentally in a mature ovarian cystic teratoma of a 38-year-old woman followed up for more than 9 years. Although the thyroid component disclosed a typical normal light microscopic appearance, no thyroglobulin and thyroxine were detected immunohistochemically. Immunoreactive calcitonin was demonstrated within the tumour cells. The close relationship between functionally imperfect thyroid tissue and a neuroendocrine marker-secreting tumour seems to be concordant with the theory of the existence of a pluripotential stem cell capable of differentiating multidirectionally.

Adult↗

[A case of ovarian struma causing symptoms of hyperthyroidism].

The authors report the case of a 46-year old woman, who went with diffuse complaints to the endocrinology department. The laboratory date showed hyperthyroidism. She had hypogastric complaints, therefore a gynecological consultation was carried out. An infant--head sized elastic formation was found on the left hand side next to a female fist sized myomatous uterus. On sonographic examination the growth proved to have a size of 12 x 14 cm. Besides the myomatous uterus the histology of the operative specimen confirmed a left sided ovarious teratoma, which was composed solely of usual thyroid tissue. After the operation it the patient's endocrine disorders became spontaneously regulated. Our attention to called the fact that especially in case of therapy resistant hyperthyroidism we should think of this infrequent clinical picture.

Female↗