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双侧浆液性卵巢腺癌所致假性梅格斯综合征:一例报告

Pseudo-Meigs syndrome due to bilateral serous ovarian adenocarcinoma: A case report.

作者信息

Semina T, Kannangara S, Silva S

机构信息

University Medical Unit, Colombo South Teaching Hospital, Kalubowila, Sri Lanka.

National Cancer Institute, Maharagama, Sri Lanka.

出版信息

SAGE Open Med Case Rep. 2024 Sep 17;12:2050313X241280023. doi: 10.1177/2050313X241280023. eCollection 2024.

Abstract

Pseudo-Meigs syndrome is a rare entity where pleural effusion and ascites disappear after resection of a benign or malignant pelvic tumour. We report a 48-year-old woman presented with shortness of breath and abdominal distention. She had a right-sided massive pleural effusion and ascites. Pleural and ascitic fluid analysis revealed exudative effusion in the absence of pyogenic foci, tuberculosis or malignant cells. Contrast-enhanced computed tomography of the abdomen showed bilateral ovarian malignancy with peritoneal deposits and ascites which was later confirmed as serous adenocarcinoma. Surgical resection of the tumour led to the resolution of the pleural effusion and ascites suggestive of Pseudo-Meigs syndrome. The presentation due to bilateral ovarian serous adenocarcinoma has not been reported in the literature.

摘要

假性梅格斯综合征是一种罕见的病症,在切除良性或恶性盆腔肿瘤后,胸腔积液和腹水会消失。我们报告一例48岁女性,出现呼吸急促和腹胀症状。她有右侧大量胸腔积液和腹水。胸腔和腹水分析显示为渗出性积液,无化脓性病灶、结核或恶性细胞。腹部增强计算机断层扫描显示双侧卵巢恶性肿瘤伴腹膜种植和腹水,后来确诊为浆液性腺癌。肿瘤的手术切除导致胸腔积液和腹水消退,提示为假性梅格斯综合征。双侧卵巢浆液性腺癌的这种表现尚未见文献报道。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/208a/11409291/1d34826f6349/10.1177_2050313X241280023-fig1.jpg

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