Skip to main content
  • Home
  • Articles
    • Archive from 2022 July
    • Archive 1960 to 2022 June
    • Accepted Articles
    • Published Ahead-of-Print
    • Supplement
  • About
  • For Authors
  • Podcasts

Strumal carcinoid tumour of the ovary presenting with severe constipation

< Back to Listing

Share this Article

Singapore Med J 2013; 54:e21-e23; http://dx.doi.org/10.11622/smedj.2013021
Strumal carcinoid tumour of the ovary presenting with severe constipation

  • Abstract
  • PDF
  • References

Sulaiman S, Chia YN, Namuduri RD
Correspondence: Dr Suzanna Sulaiman, suzanna@doctors.org.uk

ABSTRACT
A 30-year-old single woman presented with an incidental finding of abdominal mass associated with severe constipation. Her cancer antigen-25, alpha-foetoprotein and beta human chorionic gonadotropin levels were normal, but her carcinoembryonic antigen level was raised at 7.6 g/dL. Magnetic resonance imaging showed a 11.4 cm × 8.6 cm × 9.5 cm right ovarian mass with solid and cystic areas. An open right cystectomy was performed. Intraoperatively, she was found to have hirsutism and clitoromegaly. During the operation, there was a right ovarian 10-cm mass, with faecal loading from the caecum to the transverse colon. The uterus, fallopian tubes, left ovary and intraperitoneal survey were normal. Final histology confirmed strumal carcinoid tumour Stage 1A. This case report shows that a strumal carcinoid tumour can present with longstanding constipation as a patient’s main complaint and may also be associated with hirsutism.

Keywords: constipation, ovary, strumal carcinoid tumour
Singapore Med J 2013; 54(1): e21–e23; http://dx.doi.org/10.11622/smedj.2013021

http://smj.org.sg/sites/default/files/5401/5401cr7.pdf

REFERENCES

1. Matsuda K, Maehama T, Kanazawa K. Strumal carcinoid tumour of the ovary: a case exhibiting constipation associated with PYY. Gynecol Oncol 2002; 87:143-5.
http://dx.doi.org/10.1006/gyno.2002.6785
 
2. Chen CW, Chang WC, Chang DY. Laparoscopic resection of an ovarian strumal carcinoid tumor with dramatic relief of severe constipation. J Minim Invasive Gynecol 2010; 17:242-5.
http://dx.doi.org/10.1016/j.jmig.2009.11.011
 
3. Motoyama T, Katayama Y, Watanabe H, Okazaki E, Shibuya H. Functioning ovarian carcinoids induce severe constipation. Cancer 1992; 70:513-8.
http://dx.doi.org/10.1002/1097-0142(19920715)70:2<513::AID-CNCR2820700223>3.0.CO;2-P
 
4. Kawano K, Ushijima K, Fujimato K, Komai K, Kamura T. Peptide YY producing strumal carcinoid of the ovary as the cause of severe constipation with contralateral epithelial ovarian cancer. J Obstet Gynecol Res 2007; 33:392-6.
http://dx.doi.org/10.1111/j.1447-0756.2007.00544.x
 
5. Shigeta H, Taga M, Kurogi K, et al Ovarian strumal carcinoid in severe constipation: immunohistochemical and mRNA analyses of peptide YY. Hum Pathol 1999; 30:242-6.
http://dx.doi.org/10.1016/S0046-8177(99)90284-8
 
6. Utsumi N, Hayasako T, Motoyama T. Ovarian carcinoid exhibiting double function. Pathol Int 2003; 53:191-4.
http://dx.doi.org/10.1046/j.1440-1827.2003.01454.x
×

Around the Site

Home

About SMJ

For Reviewers

Sign Up for Alerts

Issues

Current Issue

All Issues

Online First

Supplement

CME

For Authors

Instructions for Authors

Submit Manuscript


Follow us on:
        

More Links

Contact Us

Copyright

Advertise

SMJ Forms

Privacy Policy

SMA Home

Copyright 2021. Singapore Medical Association. All Rights Reserved.