Malignant struma ovarii is a very rare tumour, with considerable contr
oversy concerning the necessary histologic features for malignancy. St
ill more infrequent is the condition termed 'metastatic ovarian strumo
sis' or simply 'benign strumosis or strumatosis' and characterized by
the presence of peritoneal implants of mature thyroid tissue occurring
in struma ovarii. 'Strumosis' should not be confused with malignancy.
Presented is a case of 'metastatic ovarian strumosis' in a 36-year-ol
d woman with primary infertility who underwent three in-vitro fertiliz
ation (IVF) cycles with ovarian stimulation. She received hormonal tre
atment for 6 months after her last IVF because of 'persistent enlarged
ovarian follicles' which were in fact 'thyroid follicles'.