Ovarian thyroid goiter

　　The etiology of ovarian thyroid goiter has not been fully understood to date. Thyroid nodular enlargement or diffuse enlargement, exophthalmos is rare, abdominal mass is a characteristic manifestation, the mass is hard, the edge is clear, or there is tenderness.

　　Benign ovarian thyroid goiter only requires the removal of the affected adnexa, with a good prognosis. If there is concurrent benign implantation, adjuvant surgical resection of the implantation focus is performed. If there is concurrent hyperthyroidism, it often subsides gradually after surgery, and it is necessary to pay attention to whether there is concurrent compensatory goiter of the cervical thyroid, which should be corrected.

　　Clinical symptoms of ovarian thyroid goiter: thyroid nodular enlargement or diffuse enlargement, exophthalmos is rare, abdominal mass is a characteristic manifestation, the mass is hard, the edge is clear, or there is tenderness. Abdominal pain, abdominal distension, pelvic mass, ascites, may be accompanied by pleural and peritoneal effusion. More common in unilateral ovarian involvement.

　　Principles of prevention for ovarian thyroid goiter:
　　1. Live a regular life, pay attention to dietary nutrition and moderation; the diet of patients should be light, easy to digest, with an emphasis on eating more vegetables and fruits, and a reasonable diet. In addition, patients should also pay attention to avoiding spicy, greasy, and cold foods.
　　2. Maintain mental and physical well-being and adjust with exercise.

　　In diagnosing ovarian thyroid goiter, in addition to relying on its clinical manifestations, auxiliary examinations are also needed. The laboratory examination of this disease includes:
　　1. Ultrasound examination
　　2. X-ray examination
　　3. Tumor marker test
　　4. Thyroid function test

　　Dietary health care for ovarian thyroid goiter:
　　1. Protein supplementation
　　For patients with goiter, supplementing protein is extremely important. Therefore, in addition to eating more milk and eggs in daily life, it is also necessary to include vegetables and fruits in the diet, as these foods also contain plant proteins, as well as a significant amount of vitamins and minerals.
　　2. Light Diet
　　Women with ovarian thyroid adenoma should eat less rich and greasy foods in their daily diet, and they should avoid consuming foods rich in fats such as lard and skin. The daily diet should be light, but it does not mean that meat should be completely refused. Foods with low fat content, such as fish, chicken, and duck, can be consumed in moderation.
　　3. Proper Nourishment
　　If the patient has undergone surgery, some nourishing foods can be moderately added to the diet after surgery to nourish the body and regulate the menstrual cycle. Foods such as pomegranates,罗汉果, longans, mulberries, black sesame, black fungus, mung beans, placenta, crucian carp, and carp have good nourishing effects. However, it is not the more, the better when nourishing, and attention should be paid to moderation.
　　4. Do Not Eat Spicy Foods
　　In smoked, fried, grilled, and other foods, nitrites are usually present, which can hinder the treatment and recovery of ovarian thyroid adenoma. In addition to these foods, some spicy and pickled foods can also affect the recovery of the disease.
　　5. Refuse Picky Eating
　　Diet must be based on balanced intake, and it is best not to have the habit of picky eating. This will lead to unbalanced nutrition, which will affect the treatment and recovery of ovarian thyroid adenoma. In daily life, it is necessary to eat more foods rich in fiber and trace elements, such as mushrooms, soybeans, fresh vegetables, winter mushrooms, and foods like eels, kelp, seaweed, and oysters.

　　Ovarian thyroid adenoma is a highly specific monolayer mature ovarian teratoma. According to literature reports, the incidence of this tumor varies greatly, and there is no unified diagnostic criteria at present. It is often not possible to make a diagnosis before surgery, and there is no consensus on the most appropriate treatment plan. Currently, the following surgical treatment plans are included:
　　1. Total hysterectomy with bilateral adnexectomy
　　2. Subtotal hysterectomy with bilateral adnexectomy
　　3. Subtotal hysterectomy with adnexectomy on the affected side
　　4. Tumor excision
　　5. Total hysterectomy, bilateral adnexectomy, omentectomy, and appendectomy.