Meigs' and Pseudo‐Meigs' syndrome

Saha, Sumi; Robertson, Meiri

doi:10.1002/j.2205-0140.2012.tb00140.x

Cited by 44 publications

(50 citation statements)

References 9 publications

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“…PE in these conditions is considered secondary to migration of excessive ascitic fluid into the pleural cavity, through transdiaphragmatic lymphatic channels/defects. [45]…”

Section: Discussionmentioning

confidence: 99%

Isolated fluorodeoxyglucose avid right pleural deposits/effusion on an F-18 fluorodeoxyglucose positron emission tomography/computed tomography in patients with ovarian cancer – Are they almost certainly metastatic? An extrapolation of atypical meigs' syndrome

et al. 2019

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Majority of ovarian cancer (OC) patients are usually diagnosed at advanced stage and present with peritoneal spread/ascites. Some patients develop pleural deposits/effusion secondary to transdiaphragmatic spread of peritoneal disease/ascites. However, pleural deposits/effusion from OC in the absence of peritoneal disease/ascites are very rare. We present a case of serous carcinoma of the left ovary with fluorodeoxyglucose (FDG) avid right pleural deposits and effusion in the absence of peritoneal disease/ascites on FDG positron emission tomography (PET)/computed tomography (CT), showing excellent response to chemotherapy in subsequent PET/CT. We also discuss the pathophysiology of pleural abnormalities in patients with ovarian diseases, a characteristic disease spread pattern and recognition of which would help in the imaging interpretation.

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“…PE in these conditions is considered secondary to migration of excessive ascitic fluid into the pleural cavity, through transdiaphragmatic lymphatic channels/defects. [45]…”

Section: Discussionmentioning

confidence: 99%

Isolated fluorodeoxyglucose avid right pleural deposits/effusion on an F-18 fluorodeoxyglucose positron emission tomography/computed tomography in patients with ovarian cancer – Are they almost certainly metastatic? An extrapolation of atypical meigs' syndrome

et al. 2019

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“…A síndrome de Meigs é a tríade caracterizada por tumor pélvico benigno, ascite e efusão pleural -ou hidrotórax -concomitantes, associada à cura da doença após a exérese da tumor 20 . A descrição clássica foi feita por Joe Vincent Meigs, que definiu as quatro características da síndrome: o tumor é um fibroma benigno ou um fibroma-like de ovário (como tecoma ou tumor das células da granulosa); há ascite e efusão pleural e a exérese do tumor deve curar a paciente 21 .…”

Section: Descrição Do Casounclassified

Tumor estromal esclerosante de ovário associado à síndrome de Meigs e gestação: relato de caso

Sobrinho¹,

Vasconcelos²,

Carvalho

et al. 2013

Rev. Bras. Ginecol. Obstet.

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“…MS occurs in approximately 1% of all ovarian tumors. It is most commonly associated with ovarian fibromas, identified in 2-5% of surgically resected ovarian tumors [2]. MS is most frequently diagnosed in postmenopausal women, especially those around 50 years of age [3].…”

Section: Introductionmentioning

confidence: 99%

Meigs’ syndrome mimicking heart failure with preserved ejection fraction: a case report

Murayama

Kamoi

Yamamoto

et al. 2020

BMC Cardiovasc Disord

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Background Meigs’ syndrome is a rare disease characterized by a triad of presentations, including benign ovarian tumor, ascites, and pleural effusion. However, a clinical diagnosis of Meigs’ syndrome remains challenging because pleural and ascitic effusions can be common findings in a variety of underlying conditions. Furthermore, these findings can often be misdiagnosed as pleural and peritoneal dissemination caused by potentially malignant tumors, leading to the administration of improper treatment. Case presentation We described a case of an 85-year-old postmenopausal female patient with atypical Meigs’ syndrome presenting with right-sided pleural effusion, notable leg edema, and trivial ascites, which was initially mistaken as heart failure with preserved ejection fraction. However, pleural effusion was totally ineffective against diuretic therapy. Subsequently, thoracentesis yielded serosanguineous exudative effusion. Moreover, refractory pleural effusions and abdominal/pelvic computed tomography and magnetic resonance imaging findings strongly suggested bilateral malignant ovarian tumors with pleural dissemination. Repetitive negative cytological results allowed the patient to undergo bilateral salpingo-oophorectomy. Finally, a definitive diagnosis of Meigs’ syndrome was made by confirming the presence of a benign mitotically active cellular fibroma of the ovary by pathology and that pleural effusion resolved following tumor resection. Conclusions Our case highlights the clinical importance of assessing Meigs’ syndrome in the diagnostic workup of pleural effusion in postmenopausal female patients. Given the favorable prognosis of Meigs’ syndrome, clinicians should consider surgical resection, even with potentially malignant ovarian tumors with accompanying pleural effusion, ascites, or both.

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Meigs' and Pseudo‐Meigs' syndrome

Abstract: Diagnosing Meigs' syndrome is challenging in that it can be mistaken for a number of other conditions. Ultrasound can identify ascites and pleural effusions, which is essential in accurate identification.

Cited by 44 publications

References 9 publications

Isolated fluorodeoxyglucose avid right pleural deposits/effusion on an F-18 fluorodeoxyglucose positron emission tomography/computed tomography in patients with ovarian cancer – Are they almost certainly metastatic? An extrapolation of atypical meigs' syndrome

Isolated fluorodeoxyglucose avid right pleural deposits/effusion on an F-18 fluorodeoxyglucose positron emission tomography/computed tomography in patients with ovarian cancer – Are they almost certainly metastatic? An extrapolation of atypical meigs' syndrome

Tumor estromal esclerosante de ovário associado à síndrome de Meigs e gestação: relato de caso

Meigs’ syndrome mimicking heart failure with preserved ejection fraction: a case report

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