Ovarian Mass, Pleural Effusion, and Ascites
- 1 January 2013
- journal article
- case report
- Published by Ovid Technologies (Wolters Kluwer Health) in Journal of Bronchology & Interventional Pulmonology
- Vol. 20 (1), 48-51
- https://doi.org/10.1097/lbr.0b013e31827ccb35
Abstract
The triad of pleural effusion, ascites, and benign ovarian fibroma is rare. Often, the ovarian mass is accompanied by elevated cancer antigen-125, both in serum and in pleural and peritoneal fluid. When benign ovarian fibroma is associated with ascites and/or pleural effusion it is termed Meigs syndrome. Meigs syndrome, however, is a diagnosis of exclusion only after ovarian carcinoma is ruled out. The presentation of symptoms and radiographic findings mimics that of metastatic ovarian cancer, creating a significant clinical challenge. We report a case of a patient with recurrent pleural effusions and an ovarian mass, with the outside hospital pleural fluid cytology report describing ovarian cancer. Although initially suspected to have metastatic ovarian cancer, subsequent workup of the patient's pleural and peritoneal fluid revealed no carcinoma. Surgical biopsy of the ovarian mass showed the presence of a benign tumor (fibroma). Postovarian mass resection, the patient showed resolution of pleural and peritoneal effusions. We describe our case in detail and review the literature on Meigs syndrome.Keywords
This publication has 12 references indexed in Scilit:
- Pleural EffusionsMedical Clinics of North America, 2011
- Meigs’ syndrome with elevated serum cancer antigen 125 levels in a case of ovarian sclerosing stromal tumorTaiwanese Journal of Obstetrics & Gynecology, 2011
- Meigs’ Syndrome with Elevated Serum CA125: Case Report and Review of the LiteratureCase Reports in Oncology, 2009
- Comparison of Percutaneous Management Techniques for Recurrent Malignant AscitesJournal of Vascular and Interventional Radiology, 2004
- The role of inflammatory cytokines in Meigs? syndromeObstetrics & Gynecology, 2002
- Pleural effusion and a pelvic massHeart, 1998
- Meigs Syndrome and Ovarian FibromaJournal of Computer Assisted Tomography, 1990
- Sonography of ovarian fibromas/thecomas.Journal of Ultrasound in Medicine, 1987
- A Further Contribution to the Syndrome of Fibroma of the Ovary with Fluid in the Abdomen and Chest, Meigs’ Syndrome**Presented, by invitation, at a meeting of the New York Obstetrical Society, January 12, 1943.American Journal of Obstetrics and Gynecology, 1943
- Fibroma of the Ovary with Ascites and HydrothoraxAmerican Journal of Obstetrics and Gynecology, 1937