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Gizem Öner
Istanbul University Istanbul...
Beyza Özçınar
Istanbul University Istanbul...
Selman Emirikçi
Istanbul University Istanbul...
Fatih Yanar
Istanbul University Istanbul...
Funda Güngör
Istanbul University Istanbul...
Yeşim Erbil
Istanbul University Istanbul...

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Approach to the Patient with Thyroid Papillary Carcinoma Incidentally Found in Ovarian Mature Cystic Teratoma

Ovarian Teratoma
Articles > General Surgery
Submitted : 13.03.2016
Accepted : 11.09.2016
Published: 29.09.2016

Abstract

Mature cystic teratoma account for 10-20% of all ovarian neoplasms. In 1-2% of cases cancer will be developed in long term. In this study, we are taking about a 30 years old female patient with initial diagnosis of left ovarian cyst who had laparoscopic cystectomy surgery and got pathological result with follicular variant of papillary carcinoma that was 1.8 cm in diameter and on which we performed total thyroidectomy in order to be able to apply radioactive iodine treatment later. Then, 150 mCi radioactive iodine treatment was given to the patient. There has been no sign of relapse or metastasis in postoperative 2 years follow up. The treatment of ectopic thyroid papillary carcinoma is the same with thyroidal papillary carcinoma. However, to increase the effect of radioactive iodine (RAI) treatment, prophylactic total thyroidectomy should be performed before RAI treatment.
Keywords: Mature teratoma , Thyroid papillary carcinoma , Total thyroidectomy , Radioactive iodine treatment

Özet

Matür kistik teratom tüm over tümörlerinin %10-20'sini oluşturur. Olguların %1-2'sinde uzun dönemde kanserleşme görülebilir. Bu çalışmada, 30 yaşında sol over kisti ön tanısı ile laparoskopik kistektomi ameliyatı yapılmış ve patoloji sonucu 1,8 cm çapında foliküler varyant papiller karsinom gelen ve daha sonra radyoaktif iyot tedavisi verebilmek amacı ile total tiroidektomi yaptığımız olgumuzdan bahsetmekteyiz. Hastaya her iki ameliyat sonrası 150 mCi radyoaktif iyot tedavisi verildi. Ameliyat sonrası 2. yıl kontrollerinde nüks veya metastaz lehine bulgu saptanmadı.
Anahtar kelimeler: Matür teratom , Tiroid papiller kanser , Total tiroidektomi , Radyoaktif iyot tedavisi
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