胸腔积液、腹水和腹部肿块：并非总是恶性肿瘤的征象——三例梅格斯综合征病例
Hydrothorax, ascites and an abdominal mass: not always signs of a malignancy - Three cases of Meigs' syndrome.
作者信息
Kortekaas Kim E, Pelikan Harold Mp
机构信息
Department of Obstetrics and Gynecology, Haaglanden Medical Center, The Hague, The Netherlands.
出版信息
J Radiol Case Rep. 2018 Jan 31;12(1):17-26. doi: 10.3941/jrcr.v12i1.3209. eCollection 2018 Jan.
Abstract
This case report presents three cases of Meigs' syndrome: a benign ovarian tumor with ascites and a hydrothorax. After removal of the ovarian tumor, the symptoms resolved and the patients became asymptomatic. In daily practice, Meigs' syndrome is at first sight often mistaken for ovarian cancer. With this case report we would like to emphasize that the clinical presentation of an ovarian tumor might be ovarian cancer, but can masquerade as something uncommon like Meigs' syndrome. In a time span of two years we encountered three cases.
摘要
本病例报告介绍了三例梅格斯综合征
一种伴有腹水和胸腔积液的良性卵巢肿瘤。切除卵巢肿瘤后，症状缓解，患者无症状。在日常实践中，梅格斯综合征乍一看常被误诊为卵巢癌。通过本病例报告，我们想强调卵巢肿瘤的临床表现可能是卵巢癌，但也可能伪装成像梅格斯综合征这样不常见的疾病。在两年的时间里，我们遇到了三例这样的病例。
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本文引用的文献
1
Meigs' and Pseudo-Meigs' syndrome.
Australas J Ultrasound Med. 2012 Feb;15(1):29-31. doi: 10.1002/j.2205-0140.2012.tb00140.x. Epub 2015 Dec 31.
2
Heart Failure: Diagnosis, Management and Utilization.
J Clin Med. 2016 Jun 29;5(7):62. doi: 10.3390/jcm5070062.
3
Imaging in tuberculosis.
Int J Infect Dis. 2015 Mar;32:87-93. doi: 10.1016/j.ijid.2014.12.007.
4
Meigs' syndrome with elevated serum CA 125 level in a case of ovarian fibrothecoma.
Eur J Gynaecol Oncol. 2014;35(6):734-7.
5
Ultrasound in chronic liver disease.
Insights Imaging. 2014 Aug;5(4):441-55. doi: 10.1007/s13244-014-0336-2. Epub 2014 May 24.
6
Ovarian cancer and smoking: individual participant meta-analysis including 28,114 women with ovarian cancer from 51 epidemiological studies.
Lancet Oncol. 2012 Sep;13(9):946-56. doi: 10.1016/S1470-2045(12)70322-4. Epub 2012 Aug 3.
7
Meigs' syndrome with elevated serum cancer antigen 125 levels in a case of ovarian sclerosing stromal tumor.
Taiwan J Obstet Gynecol. 2011 Jun;50(2):196-200. doi: 10.1016/j.tjog.2011.01.011.
8
Performance of abdominal ultrasound for diagnosis of tuberculosis in HIV-infected persons living in Cambodia.
J Acquir Immune Defic Syndr. 2010 Dec;55(4):500-2. doi: 10.1097/QAI.0b013e3181e6a703.
9
Sensitivity and specificity of multimodal and ultrasound screening for ovarian cancer, and stage distribution of detected cancers: results of the prevalence screen of the UK Collaborative Trial of Ovarian Cancer Screening (UKCTOCS).
Lancet Oncol. 2009 Apr;10(4):327-40. doi: 10.1016/S1470-2045(09)70026-9. Epub 2009 Mar 11.
10
Nephrotic syndrome in adults.
BMJ. 2008 May 24;336(7654):1185-9. doi: 10.1136/bmj.39576.709711.80.
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