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Successful treatment of a giant ovarian cyst by levothyroxin in a young adult woman: A case report
Author(s) -
Xie Zhongjian,
Li Lusha,
Liu Wei,
Liu Shiping,
Luo Jianguang,
Liao Eryuan
Publication year - 2018
Publication title -
journal of obstetrics and gynaecology research
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.597
H-Index - 50
eISSN - 1447-0756
pISSN - 1341-8076
DOI - 10.1111/jog.13755
Subject(s) - medicine , ovarian cyst , magnetic resonance imaging , breast enlargement , abdominal distension , cyst , levothyroxine , radiology , surgery , menstruation , hormone
Ovarian cysts are one of the most common gynecologic affections for females. The most effective therapy is surgery, but not for all conditions. An 18‐year‐old woman was referred to our hospital because of menstruation disorder and abdominal distension. Ultrasound and computer tomography of the abdomen revealed a giant ovarian cyst. Magnetic resonance imaging revealed profound pituitary enlargement. Laboratory studies showed severe hypothyroidism, mild anemia, hyperlipidemia, hyperprolactinemia and an elevated level of cancer antigen‐125. Regression of the giant ovarian cyst and pituitary enlargement was observed after a 5‐month levothyroxine replacement therapy. Thus, for patients with ovarian cysts, hypothyroidism should be taken into account. Making correct diagnosis would avoid unnecessary surgery.