假性梅格斯综合征及与卵巢甲状腺肿相关的CA125升高。
Pseudo-Meigs syndrome and elevated CA125 associated with struma ovarii.
作者信息
Loizzi Vera, Cormio Gennaro, Resta Leonardo, Fattizzi Nicola, Vicino Mario, Selvaggi Luigi
机构信息
Department of Obstetrics and Gynecology, University of Bari, Piazza Giulio Cesare, 11, 70124 Bari, Italy.
出版信息
Gynecol Oncol. 2005 Apr;97(1):282-4. doi: 10.1016/j.ygyno.2004.12.040.
BACKGROUND
Struma ovarii is a rare form of ovarian neoplasm composed entirely and predominantly of thyroid tissue. The association of pseudo-Meigs syndrome, elevation of CA125 and hyperthyroidism to struma ovarii is a rare condition.
CASE
We report an unusual presentation of a postmenopausal woman with benign struma ovarii associated with pseudo-Meigs syndrome, hypertiroidism, and elevated CA125 serum level, and a large complex right pelvic mass thereby mimicking an ovarian cancer.
CONCLUSIONS
Struma ovarii is a rare cause of ascites, hydrothorax, elevated CA125, and hyperthyroidism. This rare condition should be considered in the differential diagnosis in patients with ascites and pleural effusions but with negative cytology.
背景
卵巢甲状腺肿是一种罕见的卵巢肿瘤，完全由甲状腺组织构成且以甲状腺组织为主。卵巢甲状腺肿合并假性梅格斯综合征、CA125升高和甲状腺功能亢进是一种罕见的情况。
病例
我们报告了一名绝经后女性的不寻常表现，其患有良性卵巢甲状腺肿，伴有假性梅格斯综合征、甲状腺功能亢进和血清CA125水平升高，右侧盆腔有一个巨大的复杂肿块，从而酷似卵巢癌。
结论
卵巢甲状腺肿是腹水、胸腔积液、CA125升高和甲状腺功能亢进的罕见原因。对于腹水和胸腔积液但细胞学检查阴性的患者，在鉴别诊断中应考虑这种罕见情况。
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