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Malignant Struma Ovarii With Peritoneal Implants and Pelvic Structures and Liver Metastases Demonstrated by I-131 SPECT and Low-Dose CT

Cherng, Shiou-Chi, MD*; Wang, Yuh-Feng, MD; Fan, Yu-Ming, MD*; Chen, Ching-Yuan, MD*; Yuan, Yao-Nan, MD*; Cheng, Cheng-Yi, MD, PhD*

doi: 10.1097/01.rlu.0000187497.46941.f6
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Malignant struma ovarii is a rare disease in gynecology and the optimal treatment regimen for the tumor remains obscure. We present a patient who had malignant struma ovarii with peritoneal implants and pelvic structures and liver metastases shown on posttreatment iodine I-131 single-photon emission tomography (SPECT) and low-dose computed tomography (CT). The roles of I-131 ablation in the management of the disease are reviewed and discussed.

From the *Department of Nuclear Medicine, Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan, Republic of China; and the †Department of Nuclear Medicine, Buddhist Dalin Tzu Chi General Hospital, Chiayi, Taiwan, Republic of China.

Received for publication March 24, 2005; revision accepted June 21, 2005.

Reprints: Shiou-Chi Cherng, MD, Department of Nuclear Medicine, Tri-Service General Hospital, 325, Section 2, Cheng-Kung Road, Taipei 114, Taiwan, R.O.C. E-mail: scc9130@yahoo.com.tw.

© 2005 Lippincott Williams & Wilkins, Inc.