Case Report
Copyright ©The Author(s) 2022. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Oct 26, 2022; 10(30): 11155-11161
Published online Oct 26, 2022. doi: 10.12998/wjcc.v10.i30.11155
Giant struma ovarii with pseudo-Meigs’syndrome and raised cancer antigen-125 levels: A case report
Yan Liu, Gao-Yan Tang, Lu Liu, Hui-Min Sun, Hai-Yan Zhu
Yan Liu, Lu Liu, Department of Gynecology, Weifang People’s Hospital, Weifang 261032, Shandong Province, China
Gao-Yan Tang, Hai-Yan Zhu, Department of Oncology, Weifang People’s Hospital, Weifang 261032, Shandong Province, China
Hui-Min Sun, Department of Pathology, Weifang People’s Hospital, Weifang 261032, Shandong Province, China
Author contributions: Tang GY wrote the first draft of the manuscript; Liu Y and Liu L were responsible for treatment of the patient; Sun HM provided images of hematoxylin-eosin and immunohistochemistry; Zhu HY revised the manuscript; all authors have read and approved the final manuscript.
Supported by the Shandong Medical and Health Technology Development Project, No. 202102080115.
Informed consent statement: Informed written consent was obtained from the patient for publication of this report and any accompanying images.
Conflict-of-interest statement: All authors declare that they have no conflict of interest to disclose.
CARE Checklist (2016) statement: All authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Hai-Yan Zhu, MS, Chief Doctor, Department of Oncology, Weifang People's Hospital, No. 151 Guangwen Street, Weifang 261032, Shandong Province, China. 15169696986@163.com
Received: July 1, 2022
Peer-review started: July 1, 2022
First decision: August 1, 2022
Revised: August 12, 2022
Accepted: August 25, 2022
Article in press: August 25, 2022
Published online: October 26, 2022
Core Tip

Core Tip: Struma ovarii with pseudo-Meigs’syndrome and elevated serum cancer antigen-125 is easily preoperatively misdiagnosed as ovarian cancer, leading to unnecessary extended surgery. In this case, the patient of giant struma ovarii with pseudo-Meigs’syndrome underwent conservative surgery in the form of a right salpingo-oophorectomy, as there was no evidence of malignancy according to the preoperative biopsy and intraoperative frozen analysis. Besides, this patient was premenopausal and to our knowledge, she is the youngest with this disease.