Peritoneal and mediastinal highly differentiated follicular carcinoma of ovarian origin

Kathleen Carey, Manoj Jain, Murli Krishna, Joseph Accurso

Research output: Contribution to journalArticle

1 Scopus citations

Abstract

A 70-year-old female patient presented to her primary care doctor with persistent elevated alkaline phosphatase of suspected metastatic etiology. Computed tomography demonstrated epicardial and peritoneal nodules. Biopsy of one of the peritoneal nodules revealed thyroid tissue and extraovarian struma ovarii was considered. The patient had a history of remote total abdominal hysterectomy and bilateral salpingo-oophorectomy 31 years prior for endometriosis with no available pathology from that surgery. The patient recalls being told that she had a left ovarian cyst. A thyroid ultrasound was performed that demonstrated multiple nodules without concerning features; however, due to high clinical suspicion, a total thyroidectomy was performed. Upon full histological evaluation a 0.5 cm papillary microcarcinoma was found. Given the rarity of metastatic papillary cancer to the peritoneum and the small size and grade of the tumor, a diagnosis of highly differentiated follicular carcinoma of ovarian origin was favored. The patient was subsequently treated with radioiodine therapy.

Original languageEnglish (US)
Pages (from-to)108-111
Number of pages4
JournalIndian Journal of Nuclear Medicine
Volume29
Issue number2
DOIs
StatePublished - 2014

Keywords

  • Highly differentiated follicular carcinoma of ovarian origin
  • metastatic papillary cancer
  • struma ovarii

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging

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