Kurai Miyuki, Shiozawa Tanri, Noguchi Hiroshi, Konishi Ikuo
Department of Obstetrics and Gynecology, Shinshu University School of Medicine, Matsumoto, Nagano, Japan.
J Obstet Gynaecol Res. 2005 Jun;31(3):257-62. doi: 10.1111/j.1447-0756.2005.00285.x.
Ovarian leiomyoma is a rare tumor. Ovarian leiomyoma accompanied with Meigs' syndrome is extremely rare. We report a case of ovarian leiomyoma presenting with Meigs' syndrome, which was first noted as dyspnea in a 79-year-old woman. A whole-body examination revealed a solid mass of the ovary, accumulation of ascites and pleural effusion, and elevated serum carbohydrate antigen 125. Abdominal hysterectomy and salpingo-oophorectomy were carried out. After the surgery, ascites and pleural effusion disappeared. The pathological diagnosis of the removed tumor was leiomyoma of the left ovary. The patient has been healthy for 24 months after the surgery, with no signs of recurrence. We also review the literature on this disease and the clinicopathologic characteristics of the current case are discussed.
卵巢平滑肌瘤是一种罕见的肿瘤。伴有梅格斯综合征的卵巢平滑肌瘤极为罕见。我们报告一例表现为梅格斯综合征的卵巢平滑肌瘤病例，该病例最初是在一名79岁女性中发现有呼吸困难。全身检查发现卵巢有实性肿块、腹水和胸腔积液积聚，以及血清糖类抗原125升高。实施了腹式子宫切除术和输卵管卵巢切除术。术后，腹水和胸腔积液消失。切除肿瘤的病理诊断为左卵巢平滑肌瘤。该患者术后24个月一直健康，无复发迹象。我们还回顾了关于该疾病的文献，并讨论了当前病例的临床病理特征。
