Struma ovarii physical examination

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Aravind Reddy Kothagadi M.B.B.S[2]


Patients with struma ovarii usually appear normal. Physical examination of patients with Struma ovarii is usually remarkable for palpable lower abdominal mass. Pelvic pressure related to a pelvic mass is observed. Struma ovarii appears to occur more frequently in the right adnexa. In some cases ascites may be observed.

Physical Examination

  • Physical examination of patients with Struma ovarii is usually remarkable for:
  • Struma ovarii appears to occur more frequently (68.8%) in the right adnexa and CA-125 level appears within normal limits. [1]
  • Clinical features in struma ovarii are generally non-specific and resemble ovarian malignancy. [2]

Appearance of the Patient

  • Patients with struma ovarii usually appear asymptomatic and some may experience discomfort in the abdomen due to pelvic pressure related to a pelvic mass.
  • Facial flushing is seen very rarely. [2][3]

Vital Signs

  • Vital signs in a patient with struma ovarii appear to be normal.






  1. Zalel Y, Seidman DS, Oren M, Achiron R, Gotlieb W, Mashiach S, Goldenberg M (2000). "Sonographic and clinical characteristics of struma ovarii". J Ultrasound Med. 19 (12): 857–61. PMID 11127011.
  2. 2.0 2.1 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.
  3. Outwater EK, Siegelman ES, Hunt JL (2001). "Ovarian teratomas: tumor types and imaging characteristics". Radiographics. 21 (2): 475–90. doi:10.1148/radiographics.21.2.g01mr09475. PMID 11259710.
  4. Selvaggi F, Risio D, Waku M, Simo D, Angelucci D, D'Aulerio A, Cotellese R, Innocenti P (2012). "Struma ovarii with follicular thyroid-type carcinoma and neuroendocrine component: case report". World J Surg Oncol. 10: 93. doi:10.1186/1477-7819-10-93. PMC 3586957. PMID 22613573.
  5. 5.0 5.1 Yoo SC, Chang KH, Lyu MO, Chang SJ, Ryu HS, Kim HS (2008). "Clinical characteristics of struma ovarii". J Gynecol Oncol. 19 (2): 135–8. doi:10.3802/jgo.2008.19.2.135. PMC 2676458. PMID 19471561.
  6. 6.0 6.1 Tanimanidis P, Chatzistamatiou K, Nikolaidou A, Kaplanis K (2014). "Struma ovarii. A case report". Hippokratia. 18 (4): 357–8. PMC 4453812. PMID 26052205.
  7. Bokhari A, Rosenfeld GS, Cracchiolo B, Heller DS (2003). "Cystic struma ovarii presenting with ascites and an elevated CA-125 level. A case report". J Reprod Med. 48 (1): 52–6. PMID 12611097.
  8. Rim SY, Kim SM, Choi HS (2005). "Struma ovarii showing clinical characteristics of ovarian malignancy". Int. J. Gynecol. Cancer. 15 (6): 1156–9. doi:10.1111/j.1525-1438.2005.00328.x. PMID 16343201.

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