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CASE REPORT. Meigs’ syndrome with elevated CA case report. Síndrome de Meigs com CA elevado: relato de caso. Sabas Carlos Vieira; Leonardo. 31 Dec Meigs’ syndrome is diagnosed based on a triad of an ovarian fibroma, A Demons of Bordeaux, France, gave a report to the Société de. 4 Apr We present a case of Meigs’ syndrome due to right ovarian fibroma with elevated CA .. Síndrome de Meigs: presentatión de dos casos.

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Check for errors and try again. Background Meigs syndrome is defined as the triad of benign ovarian tumor with ascites and pleural effusion that resolves after resection of the tumor.

Meigs’ and Pseudo‐Meigs’ syndrome

Ovarian serous cystadenoma Mucinous ds Cystadenocarcinoma Papillary serous cystadenocarcinoma Krukenberg tumor. As in Meigs syndrome, pleural effusion resolves after removal of the pelvic mass.

Presented as a poster at: A year-old Thai woman was admitted to another hospital sindroome of progressive dyspnea, abdominal distention and weight loss for ,eigs months.

It is expressed in the amnion and embryonic coelomic epithelium [ 11 ]. However, surgery and histopathological examination are required for the correct diagnosis and treatment, since an elevated CA level can be falsely positive for ovarian malignancy.

On radiological examination, pleural effusion is observed. All the contents of this journal, except where otherwise noted, is licensed under a Creative Commons Attribution License. Conclusion An awareness of benign lesions of the pelvis with associated adverse features is important for both clinicians and their imaging partners to limited patient anxiety and direct appropriate treatment.


Meigs’ syndrome

It is also increased in vascular invasion, tissue destruction and inflammation associated with malignant disease. CA was originally described as tumor marker meig ovarian cancer and it is used in the screening of this pathology. Ann Chir ; 3: November 11, Last received: Use of CA monoclonal antibody to monitor patients with ovarian cancer.

Tumor size, rather than the specific histologic type, is thought to be the important factor in the formation of ascites and accompanying pleural effusion. The importance of ovarian cancer stems not from the fact that it is the sixth most common cancer in women worldwide, but from the fact that it is the most lethal gynecologic malignancy in Western Europe and North America, killing more women than uterine and cervical cancer combined.

Dde gynecological examination, a uterus of normal form, size and consistency, the left adnexum was without alteration on examination. Elevated serum CA levels in postmenopausal women with solid adnexal masses, ascites, and pleural effusion are highly suggestive for malignant ovarian tumor. Ascitic fluid and pleural fluid in Meigs syndrome can be either transudative or exudative.

Pseudo-meigs syndrome secondary to bilateral ovarian endometroid carcinomas. It is accepted that the uterine tumors such as the fibromas, although extremely rare, can be associated to ascites and hydrothorax, as well as leiomyoma of the broad ligament, leimyoblastoma of the colon and cancer of the ovary.

Síndrome de Meigs y seudo-Meigs – ScienceDirect

There was arching in the lower abdomen due to a firm and immobile pelvic mass. Total abdominal hysterectomy with bilateral salpingo-oophorectomy was performed. Mmeigs possible pathogenesis for the formation of the pleural and sinndrome effusions in the case of ovarian tumors can be explained by the filtration of interstitial liquid to the peritoneum through the ovarian tumor capsule.


The case of a 33 year-old female patient who presented rapid weight loss and a quickly increasing abdominal circumference is described.

Meigs’ and Pseudo‐Meigs’ syndrome

The presumptive diagnosis on admission was giant cyst of jeigs right ovary and ascites. Gynaecol Oncol ; Her obstetric history included 3 uncomplicated deliveries.

Other primary tumours include: Am J Clin Pathol. Other primary tumours include:. Elevated serum CA levels prior to diagnosis of ovarian neoplasia: Ovarian malignancies with cytologically negative pleural and peritoneal effusions: It is thought that the occurrence of pleural effusion xe secondary to the passage of ascitic fluid to the pleural space through the diaphragm or diaphragmatic lymph vessels which are more common on the right side [ 10 ].

A 33 year-old female patient, G2 P2, with sindromee of good health who was remitted to the gynecology department of our Center for her admission presenting weight loss of approximately 10 kilograms in 2 months and d rapidly increasing abdominal circumference.

Minerva Ginecol ; 51 This article has been cited by other articles in PMC. It is predominantly a disease of postmenopausal women, with a median age at diagnosis of 60 years [ 1 ].