Coexistence of XXXX and unilateral functioning Struma ovarii: a case report.

@entity1 @entity19967 @entity1375 @entity2743 @entity5 @entity5010 @entity6145
BACKGROUND: Coexisting of @entity2743 and functioning @entity19967 is a rare condition. Although the histology of @entity19967 predominantly composed of thyrocytes, the majority of the @entity1 did not have @entity2743 . The mechanism underlying the functioning status of the @entity5 is still unclear but the presence of @entity5010 ( @entity5010 ) is thought to play a role. Here we describe the @entity1 presentation and report the @entity5010 expression of the @entity5 . CASE PRESENTATION: A 56-year old Asian @entity1 presented with long standing @entity2743 for 23  years. She was diagnosed with @entity2743 and thyroid nodules. She had bilateral exophthalmos and had high titer of plasma @entity5010 antibody. Total thyroidectomy was performed and the histologic findings confirmed the clinical diagnosis. The @entity1 had persistent @entity2743 postoperatively. Thyroid uptake demonstrated the adequacy of the thyroid surgery and the whole body scan confirmed the presence of functioning thyroid tissue at pelvic area. The surgery was scheduled and the @entity1 had @entity1375 after the surgery. The pathological diagnosis was @entity19967 at right ovary. We performed @entity5010 staining in both the @entity1 's @entity19967 and in 3 cases of non-functioning @entity19967 . The staining results were all positive and the intensity of the @entity5010 staining of functioning @entity19967 was the same as that in other cases of @entity5 , suggesting that the determinant of functioning @entity19967 might be the presence of @entity5010 stimuli rather than the intensity of the @entity5010 in the ovarian tissue. CONCLUSION: In @entity1 with @entity2743 with persistent or recurrent @entity2743 after adequate ablative treatment, the possibility of ectopic @entity6145 production should be considered. @entity5010 expression is found in @entity1 with functioning and non-functioning @entity19967 and cannot solely be used to determine the functioning status of the @entity5 .
