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D efinition — A teratoma composed principally of thyroid tissue.
Struma ovarii is a monodermal ovarian teratoma predominantly composed of thyroid tissue.
Seen most commonly in the fifth decade of life.
Virtually always unilateral.
Contralateral cystic teratoma in 10% to 15% of cases (we have seen one case of struma with contralateral carcinoid).
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