Migishima F, Jobo T, Hata H, Sato R, Ikeda Y, Arai M, Kuramoto H
Department of Obstetrics and Gynecology, School of Medicine, Kitasato University, Kanagawa, Japan.
J Obstet Gynaecol Res. 2000 Aug;26(4):283-7. doi: 10.1111/j.1447-0756.2000.tb01323.x.
A 51-year-old patient presented with an abdominal mass and ascites as well as a left pleural effusion. Her serum CA125 was 820 U/ml. Surgical exploration revealed a benign leiomyoma of the uterus without malignant cytology in the ascites. Postoperatively, the pleural effusion was resolved dramatically and the CA125 decreased to the normal range after 4 months post-operatively. This is an extremely rare case of pseudo-Meigs' syndrome caused by uterine leiomyoma.
一名51岁患者出现腹部肿块、腹水以及左侧胸腔积液。她的血清CA125为820 U/ml。手术探查发现子宫良性平滑肌瘤,腹水中无恶性细胞学表现。术后,胸腔积液显著消退,术后4个月CA125降至正常范围。这是一例由子宫平滑肌瘤引起的极为罕见的假性梅格斯综合征病例。