2016, Number 02
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Ginecol Obstet Mex 2016; 84 (02)
Meigs´ syndrome caused by bilateral ovarian fibroma mimicking ovarian cancer
Sánchez-Torres DA, Díaz-Murillo R, Kazlauskas S, de Santiago J, Zapardiel I
Language: Spanish
References: 22
Page: 122-125
PDF size: 455.99 Kb.
ABSTRACT
Meigs´ syndrome is defined as the triad of benign ovarian tumor, ascites
and pleural effusion. In some cases it could be confused with a
malignant disease.
Case Report: We report the case of a 55-year-old patient who presented
a pelvic mass, ascites and elevated serum CA125. Suspecting a
malignant process she underwent surgery and a total hysterectomy with
bilateral salpigo-oforectomy was performed. Pathologic report revealed
a bilateral ovarian fibroma and non-tumoral ascites. The presence of
elevated serum CA125 levels in a postmenopausal woman with a pelvic
mass and ascites suggest an ovarian malignant disease. However, in case
of Meigs´syndrome, all symptoms will diappear after removal of the
pelvic tumor, so a fast surgical management of the patients is mandatory.
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