Pseudo–Meigs’ syndrome secondary to bilateral ovarian endometrioid carcinomas

Yin, Hui; Li, X.H.; Xu, H.M.; Lu, Yongliang

doi:10.1016/s0020-7292(99)00089-2

Cited by 18 publications

(12 citation statements)

References 3 publications

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“…They have dealt essentially with cases of tumors other than fibromas, hence the name pseudo-Meigs’ syndrome. Similarly, malignant tumors of the ovary have sometimes been included, the removal of which brings about the disappearance of the effusion with no malignant cells [6]. …”

Section: Resultsmentioning

confidence: 99%

Pseudo-Meigs’ Syndrome Caused by a Uterine Leiomyosarcoma: A New Clinical Condition

Marci

Giugliano²,

Carboni³

et al. 2011

Gynecol Obstet Invest

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Introduction: Pseudo-Meigs’ syndrome is a rare condition characterized by female genital cancer, ascites, hydrothorax and tumors other than benign ovarian tumors. Case report: A 30-year-old woman arrived at our clinic with pelvic pain and dyspnea. She underwent an exploratory laparotomy for a large pelvic mass complicated by ascites and hydrothorax. Cytological examination of the effusions was negative for malignant cells. Histological analysis of the tumor mass revealed a uterine epithelioid leiomyosarcoma. After surgery, we observed resolution of the effusions. Conclusion: Uterine leiomyosarcoma and pseudo-Meigs’ syndrome are two rare entities. To our knowledge, there are no similar reports in the literature, and therefore we present this new clinical condition due to its high scientific evidence.

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Section: Resultsmentioning

confidence: 99%

Pseudo-Meigs’ Syndrome Caused by a Uterine Leiomyosarcoma: A New Clinical Condition

Marci

Giugliano²,

Carboni³

et al. 2011

Gynecol Obstet Invest

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“…Similar findings have been described among malignant tumors of the ovary and labeled pseudo-Meigs syndrome. Such cases have been documented in association with struma ovarii [3], endometrioid carcinoma [5], and metastatic tumors of gastrointestinal origin [6]. Before this report, only 1 case of pseudo-Meigs syndrome has been documented in association with an endodermal sinus tumor [8].…”

Section: Discussionmentioning

confidence: 97%

“…This association of symptoms was later termed Meigs syndrome by Rhoads and Terrell [2] and classically refers to an ovarian fibroma-thecoma in association with pleural and peritoneal fluid. However, other tumors of the ovary have been documented presenting with this same triad of symptoms [3][4][5][6]. Cystic tumors of the ovary occurring with hydrothorax and ascites had been described by Demons as early as 1886 [7].…”

Section: Discussionmentioning

confidence: 99%

Pseudo-Meigs syndrome secondary to ovarian germ cell tumor

Wolff

Ladd

Kumar

et al. 2005

Journal of Pediatric Surgery

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“…Meigs' syndrome denotes the condition where ascites and hydrothorax associated with benign ovarian fibroma or fibroma-like pathology resolve with the removal of the tumor [3], and similar conditions associated with other pathologies are collectively referred to as pseudo-Meigs' syndrome [3]. Reported pathologies presenting as pseudoMeigs' syndrome include primary ovarian tumor such as germ cell tumor [6], endometrioid adenocarcinoma [7], struma ovarii [8], and metastatic ovarian tumor [9]. In addition to a single pathology, multiple concurrent intrapelvic tumors have also been described as a cause of pseudo-Meigs' syndrome [5].…”

Section: Discussionmentioning

confidence: 99%

Pseudo-Meigs’Syndrome as a Cause of Exertional Dyspnea: A Case Report

Ehara¹,

Koga

You

et al. 2009

Kurume Med. J.

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INTRODUCTIONIt is not rare to see patients with bilateral pleural effusion in clinical practice, and it is not unusual for such patients to present with exertional dyspnea [1]. Although several cardiopulmonary diseases account for most cases of pleural effusion [2], it occurs in diverse conditions and diseases. Bilateral pleural effusion develops in several systemic conditions such as hypoalbuminemia and collagen vascular diseases, and even in conditions unrelated to the cardiopulmonary system, including ovarian diseases such as Meigs' syndrome [3], a rare condition characterized by ovarian fibroma complicated by ascites and pleural effusion. We describe herein a patient presenting with exertional dyspnea who was diagnosed with pseudoMeigs' syndrome accompanying ovarian cancer. CASE REPORTA 61-year-old woman sought medical attention because of exertional dyspnea and an occasional wheeze that had developed one month previously without a noticeable triggering episode. She never smoked, consumed alcohol or took any medications. She underwent appendectomy at the age of nineteen, and was diagnosed when she was fifty as having myoma uteri, which was in stable condition on periodic check-ups. Her mother and a brother had diabetes, and another brother died of gastric cancer. Vital signs on presentation were as follows; blood pressure, 146/96 mmHg; pulse rate, 94 per minute with a regular rhythm; body temperature, 36.7°C; and respiration rate, 22 per minutes. She was neither anemic nor icteric. Finger clubbing was not noted. Neither lymphadenopathy nor venous dilation was noted on the neck. Thoracic examinations revealed diminished breath sound and dullness on percussion bilaterally. No wheeze was audible on this occasion. Heart sounds were not particular. Abdomen was flat, and there were no tender areas or masses on palpation. Neurological status was normal. Routine laboratory values were within the normal Kurume Medical Journal, 56, 85-87, 2009 Summary: A 61-year-old otherwise healthy woman presented with gradually worsening exertional dyspnea. Routine examinations revealed bilateral pleural effusion with no other notable cardiopulmonary diseases. Systemic examinations showed ascites and a pelvic tumor, which turned out to be right ovarian endometrioid adenocarcinoma. Surgical removal and chemotherapy against the ovarian cancer resulted in disappearance of the ascites and pleural effusion, establishing a diagnosis of pseudo-Meigs' syndrome. It is common for reported cases of pseudoMeigs' syndrome to initially present with dyspnea, therefore it is important to consider this disorder when attempting a differential diagnosis in female patients presenting with dyspnea without other noticeable conditions.

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Pseudo–Meigs’ syndrome secondary to bilateral ovarian endometrioid carcinomas

Cited by 18 publications

References 3 publications

Pseudo-Meigs’ Syndrome Caused by a Uterine Leiomyosarcoma: A New Clinical Condition

Pseudo-Meigs’ Syndrome Caused by a Uterine Leiomyosarcoma: A New Clinical Condition

Pseudo-Meigs syndrome secondary to ovarian germ cell tumor

Pseudo-Meigs’Syndrome as a Cause of Exertional Dyspnea: A Case Report

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