Struma ovarii surgery: Difference between revisions

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*Surgical intervention is not recommended for the management of [disease name].
OR
*Surgery is not the first-line treatment option for patients with [disease name]. Surgery is usually reserved for patients with either [indication 1], [indication 2], and [indication 3]
*The mainstay of treatment for [disease name] is medical therapy. Surgery is usually reserved for patients with either [indication 1], [indication 2], and/or [indication 3].
*The feasibility of surgery depends on the stage of [malignancy] at diagnosis.
OR
*Surgery is the mainstay of treatment for [disease or malignancy].
*Surgery is the mainstay of treatment for [disease or malignancy].



Revision as of 22:27, 11 August 2017

Struma ovarii Microchapters

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief:

Overview

  • Surgical intervention is not recommended for the management of [disease name].

OR

  • Surgery is not the first-line treatment option for patients with [disease name]. Surgery is usually reserved for patients with either [indication 1], [indication 2], and [indication 3]
  • The mainstay of treatment for [disease name] is medical therapy. Surgery is usually reserved for patients with either [indication 1], [indication 2], and/or [indication 3].
  • The feasibility of surgery depends on the stage of [malignancy] at diagnosis.

OR

  • Surgery is the mainstay of treatment for [disease or malignancy].

Surgery

  • In patients without disseminated disease, surgical excision has been opted as the preferred treatment because of it's fairly good prognosis. [1]

Surgical therapy is done by:

  • Exploratory laparotomy
  • Laparoscopic methods

Surgical modalities include:

  • Total hysterectomy with unilateral or bilateral salpingo-oophorectomy
  • Unilateral salpingo-oophorectomy
  • Extirpation of struma ovarii
  • For malignant struma ovarii, infra-colic omentectomy is preferred.
  • Bilateral ovariectomy [2]
  • Total thyroidectomy [2]
  • Omentectomy and occasionally appendectomy. [3]


  • Surgery is the mainstay of treatment for [disease or malignancy].

Indications

References

  1. Kabukcuoglu F, Baksu A, Yilmaz B, Aktumen A, Evren I (2002). "Malignant struma ovarii". Pathol. Oncol. Res. 8 (2): 145–7. doi:PAOR.2002.8.2.0145 Check |doi= value (help). PMID 12172581.
  2. 2.0 2.1 Willemse PH, Oosterhuis JW, Aalders JG, Piers DA, Sleijfer DT, Vermey A, Doorenbos H (1987). "Malignant struma ovarii treated by ovariectomy, thyroidectomy, and 131I administration". Cancer. 60 (2): 178–82. PMID 3297279.
  3. Dujardin MI, Sekhri P, Turnbull LW (2014). "Struma ovarii: role of imaging?". Insights Imaging. 5 (1): 41–51. doi:10.1007/s13244-013-0303-3. PMC 3948908. PMID 24357453.

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