Pseudopseudo meigs syndrome in a patient with systemic. Meigslike syndrome presenting as cardiac tamponade. Pseudomeigs syndrome caused by secondary ovarian tumors. Pseudomeigs syndrome due to high grade serous ovarian carcinoma. Ca 125 levels are sometimes elevated but return to normal after surgery. Sindrom pseudo meigs terdiri dari efusi pleura, cairan ascites dan tumor ovarium benigna selain fibroma. A fisiopatologia deste sindrome e ainda pouco conhecida. Cind histologia este alta decit fibromul, conditia este denumita sindrom pseudomeigs. Pseudo meigs syndrome caused by secondary ovarian tumors from gastrointestinal cancer. Pseudo meigs syndrome refers to a clinical syndrome of pleural effusion, ascites associated with an ovarian tumor that is not a fibroma or a fibromalike tumor pathology. In september, 2003, a 33yearold woman was referred to our medical facility.
Meigs separated his definition into true meigs syndrome, which he preferred to call demons meigs syndrome and pseudo meigs syndrome distinguished by different tumor. Meigs separated his definition into true meigs syndrome, which he preferred to call demonsmeigs syndrome and pseudomeigs syndrome distinguished by different tumor. Pdf pseudomeigs syndrome due to highgrade serous ovarian. Trying to elucidate the origin of ascites in pseudomeigs syndrome, we assume that the pathophysiology in meigs and pseudomeigs syndromes is similar. A 48yearold perimenopausal woman presented with a long history of 810 years of abdominal distension. Meigslike syndrome presenting as cardiac tamponade revista. A 65yearold brazilian woman had presented progressive dyspnea, weight loss and decline in general condition over the 7 months preceding admission to our service. Such variants have been termed pseudomeigs syndrome. Meigs syndrome is defined as a hydrothorax with ascites and a pelvic tumor, both of which resolve on removal of the tumor. Dalvi sr, yildirim r, santoriello d, belmont hm lupus 2012 nov. Meigs syndrome is defined as the presence of ascites and pleural effusion in association with a benign, usually solid ovarian tumor.
In the vast majority 8090% of cases, the primary tumor is an ovarian fibroma. Pseudopseudo meigs syndrome ppms is a rare manifestation of patients with systemic lupus erythematosus sle, defined by the presence of ascites, pleural effusions and an elevated ca125 level. Por este motivo, es importante conocer este sindrome. We describe a patient with longstanding lupus who presented with localized lymphadenopathy and subsequently developed massive chylous ascites with. Tanda atipikal meigs syndrome dengan masa pelvis benigna disertai dengan efusi pleura kanan tetapi tanpa disertai cairan ascites juga pernah dilaporkan sebanyak dua kasus. Complete white left lung due to pleural effusion with deviation of heart and mediastinum to the right on chest x ray. In 1937, meigs described a syndrome of ovarian fibromas with ascites and hydrothorax that quickly resolved on removal of the fibroma. This is a case report of meigs syndrome with elevated ca 125 level. Both these syndromes should be considered in otherwise healthy women who present with either new or recurrent hydrothorax and ascites. Entities that have been reported to result in pseudo meigs syndrome include.
In medicine, meigs syndrome, also meigs syndrome or demons meigs syndrome, is the triad of ascites, pleural effusion, and benign ovarian tumor ovarian fibroma, fibrothecoma, brenner tumour, and occasionally granulosa cell tumour. Ovarian fibromas constitute the majority of the benign tumors seen in meigs syndrome. Pseudopseudo meigs syndrome ppms is a newly emerging manifestation of systemic lupus erythematosus sle, characterized by the presence of pleural effusion, ascites and raised ca125 levels. Tumor ovarium pada meigs syndrome bisa berupa suatu fibroma, thecoma, kistadenoma atau sel tumor granulose. Pseudopseudo sindrome di meigs che puo manifestarsi nei pazienti con lupus eritematoso sistemico ed ingrossamento ovarico. Sindrome di meigs atipica, con massa pelvica benigna e versamento pleurico destro, ma senza ascite. Meigs syndrome is characteristically associated with ovarian fibroma whereas pseudomeigs syndrome is associated with any ovarian or pelvic tumors, other than ovarian fibroma. Pseudomeigs syndrome caused by a hydropic degenerating. However, ascites and hydrothorax have been also reported in the presence of tumors located in the uterus, tubes or colon. Meigs syndrome consists of a benign ovarian fibroma type tumor in association with ascites and hydrothorax that disappear after tumoral resection. Mar 24, 2016 meigs syndrome is defined as the triad of benign ovarian tumor with ascites and pleural effusion that resolves after resection of the tumor. Case of pseudomeigs, guide sign of underlying gynecological. She initially presented to her personal physician in july, 2003, with a 2month history of progressive dyspnoea, abdominal distension, and pedal oedema.
O sindrome pseudo meigs e uma entidade clinica com estudo histologico definitivo da peca. Meigs syndrome consists of a benign ovarian fibroma type. The same characteristics but with other types of tumors, whether benign or malignant, constitute pseudomeigs syndrome. Sindrom meigs didefinisikan sebagai trias yang terdiri dari tumor ovarium solid benigna, ascites dan efusi pleura yang akan membaik setelah dilakukan reseksi tumor tanpa rekurensi dari penyakitnya. Pseudo meigs is a variant not possessing the original tumor cell types described by meigs. Pseudo sindrome di meigs, caratterizzata da versamento pleurico, ascite e tumore ovarico differente dal fibroma.
Meigs syndrome, however, is a diagnosis of exclusion, only after ovarian carcinoma is ruled out. Meigs syndrome resolves after the resection of the tumor. Tjalma syndrome pseudopseudo meigs as initial manifestation of juvenile onset systemic lupus erythematosus. In medicine, meigs syndrome, also meigs syndrome or demonsmeigs syndrome, is the triad of ascites, pleural effusion, and benign ovarian tumor ovarian fibroma, fibrothecoma, brenner tumour, and occasionally granulosa cell tumour. It has been described mostly in patients without a known prior diagnosis of sle and often presents with painless, gradual onset, mild to moderate. Pseudopseudo meigs syndrome in a patient with systemic lupus erythematosus. The authors report a case of meigs syndrome with elevated ca 125 level. Physical examination showed dullness in thoracic percussion bilaterally and abdominal distension. Meigs syndrome and pseudomeigs syndrome both presents with hydrothorax and ascites.
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