Vieira Sabas Carlos, Pimentel Leonardo Halley Carvalho, Ribeiro José Carlos Castelo Branco, de Andrade Neto Argemiro Ferreira, de Santana Jerúsia Oliveira Ibiapina
Hospital São Marcos, Teresina, Piauí, Brazil.
Sao Paulo Med J. 2003 Sep 1;121(5):210-2. doi: 10.1590/s1516-31802003000500007. Epub 2003 Nov 5.
Meigs' syndrome consists of a benign ovarian tumor accompanied by ascites and hydrothorax. Elevated serum CA 125 levels in postmenopausal women with solid adnexal masses, ascites and pleural effusion are highly suggestive for malignant ovarian tumor. However, patients with Meigs' syndrome can also have elevated serum CA 125 levels. The authors report a case of Meigs' syndrome with elevated CA 125 level.
This is a case report of Meigs' syndrome with elevated CA 125 level.
A 65-year-old Brazilian woman had presented progressive dyspnea, weight loss and decline in general condition over the 7 months preceding admission to our service. In another hospital, the patient had been submitted to thoracic drainage due to pleural effusion. With recurrence of the pleural effusion and increase in abdominal volume due to ascites and a pelvic mass, the patient sought our service. Transvaginal ultrasound showed an extensive adnexal solid mass of 16.4 x 10.8 cm located in the pelvis without exact limits, and the serum CA 125 level was elevated. With a preoperative diagnosis of ovarian carcinoma, the patient was submitted to exploratory laparotomy, which revealed a left ovarian tumor. The frozen section diagnosis was thecoma. Total abdominal hysterectomy with bilateral salpingo-oophorectomy was performed. The histology of the specimen confirmed the diagnosis of thecoma. The patient was asymptomatic with a normal serum CA 125 level 20 months after the operation.
梅格斯综合征由良性卵巢肿瘤伴腹水和胸腔积液组成。绝经后女性出现附件实性肿块、腹水和胸腔积液且血清CA 125水平升高高度提示为恶性卵巢肿瘤。然而，梅格斯综合征患者的血清CA 125水平也可能升高。作者报告一例血清CA 125水平升高的梅格斯综合征病例。
这是一例血清CA 125水平升高的梅格斯综合征病例报告。
一名65岁的巴西女性在入院前7个月出现进行性呼吸困难、体重减轻和全身状况下降。在另一家医院，该患者因胸腔积液接受了胸腔引流。由于胸腔积液复发以及腹水和盆腔肿块导致腹部体积增大，患者前来我院就诊。经阴道超声显示盆腔内有一个16.4×10.8 cm的广泛附件实性肿块，边界不清，血清CA 125水平升高。术前诊断为卵巢癌，患者接受了剖腹探查术，发现左侧卵巢肿瘤。冰冻切片诊断为卵泡膜瘤。行全腹子宫切除术及双侧输卵管卵巢切除术。标本的组织学检查证实为卵泡膜瘤。术后20个月，患者无症状，血清CA 125水平正常。
