表现为伴有CA 125升高的假性梅格斯综合征的水肿性变性平滑肌瘤。
Hydropic degenerating leiomyoma presenting as pseudo-Meigs syndrome with elevated CA 125.
作者信息
Dunn J S, Anderson C D, Method M W, Brost B C
机构信息
Department of Obstetrics and Gynecology, Keesler Medical Center, Kessler Air Force Base, Mississippi 39534, USA.
出版信息
Obstet Gynecol. 1998 Oct;92(4 Pt 2):648-9. doi: 10.1016/s0029-7844(98)00130-6.
BACKGROUND
Leiomyomas rarely cause pseudo-Meigs syndrome. Increased levels of CA 125 often are associated with some types of malignancy. No reported case of pseudo-Meigs syndrome presenting with hydropic degeneration of uterine leiomyoma and an elevated CA 125 level could be found on a MEDLINE search.
CASE
A 46-year-old woman presented with a pleural effusion and a pelvic mass measuring 30 x 18 cm. Preoperative evaluation was remarkable for a CA 125 level of 254 U/mL. At laparotomy, the diagnosis was a benign leiomyoma with focal hyaline and extensive hydropic degeneration. Her pleural effusion resolved completely by 4 months postoperatively.
CONCLUSION
Pseudo-Meigs syndrome can present with an elevated CA 125 level.
背景
平滑肌瘤很少引起假性梅格斯综合征。CA 125水平升高常与某些类型的恶性肿瘤相关。通过医学文献数据库检索，未发现有子宫平滑肌瘤发生水样变性且CA 125水平升高而出现假性梅格斯综合征的报道病例。
病例
一名46岁女性出现胸腔积液及一个大小为30×18 cm的盆腔肿块。术前评估显示CA 125水平为254 U/mL，这一结果很显著。剖腹手术时诊断为良性平滑肌瘤，伴有局灶性透明变性和广泛的水样变性。术后4个月，她的胸腔积液完全消退。
结论
假性梅格斯综合征可能伴有CA 125水平升高。
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