Abstract
Background: Meig’s and Pseudo-Meig’s syndromes have been reported in association with several malignancies but the concomitant existence of multiple synchronous benign and malignant tumors in association with Pseudo-Meigs’ syndrome has not been reported in the published literature. Case: A 55-year old African American woman presented with mild asthma exercebation, right ovarian mass, hydrothorax and elevated CA-125 levels. Histological examination confirmed a right ovarian carcinoid tumor embedded within a mature cystic teratoma while the left ovary, fallopian tube and the uterus contained a poorly differentiated adenocarcinoma of the endometrium. Conclusion: This is the first case report of Pseudo-Meig’s syndrome in association with ovarian carcinoid tumor and multiple synchronous benign and malignant pelvic tumors.
This is a preview of subscription content, log in via an institution to check access.
References
Meigs JV, Cass JW (1937) Fibroma of the ovary with ascites and hydrothorax, with report of 7 cases. Am J Obstet Gynecol 33:249–267
Lurie S (2000) Meigs syndrome: the history of the eponym. Eur J Obstet Gynecol Reprod Biol 92:199–204
Kazanov L, Ander DS, Enriquez E, Jaggi FM (1998) Pseudo-Meigs’ syndrome. Am J Emerg Med 16:404–5
Santopaolo O, Rotondo A, Alfe M, Canciello P, Rito Marcone G, Cusati B (1993) Meigs syndrome with bilateral hydrothorax. Minerva Ginecol 45:263–266
Nemeth AJ, Patel SK (2003) Meigs syndrome revisited. J Thorac Imaging 18:100–3
Wilson AG (2000) Pleural physiology and pleural effusions. In: Armstrong P, Wilson AG, Dee P et al (eds) Imaging of diseases of the chest, 3rd edn. Mosby, St Louis, pp 751–780
Abad A, Cazorla E, Ruiz F et al (1999) Meigs syndrome with elevated CA125. Eur J Obstet Gynecol Reprod Biol 82:97–99
Kinasewitz GT (1998) Pleural fluid dynamics and effusions. In: Fishman AP, Elias JA, Fishman JA et al (eds) Fishman’s pulmonary disease and disorders, 3rd edn. McGraw-Hill, New York, pp 1389–1409
Samanth KK, Black WC 3rd (1970) Benign ovarian stromal tumors associated with free peritoneal fluid. Am J Obstet Gynecol 107:538–545
Abramov Y, Anteby SO, Fasouliotis SJ et al (2001) Markedly elevated levels of vascular endothelial growth factor, fibroblast growth factor, and interleukin 6 in Meigs syndrome. Am J Obstet Gynecol 184:354–355
Abramov Y, Anteby SO, Fasouliotis SJ, Barak V (2002) The role of inflammatory cytokines in Meigs’ syndrome. Obstet Gynecol 99:917–919
Ishiko O, Yoshida H, Sumi T, Hirai K, Ogita S (2001) Vascular endothelial growth factor levels in pleural and peritoneal fluid in Meigs’ syndrome. Eur J Obstet Gynecol Reprod Biol 98:129–130
Majzlin C, Stevens FL (1964) Meigs syndrome: case report and review of literature. J Int Coll Surg 42:625–630
Vieira SC, Pimentel LH, Ribeiro JC, de Andrade Neto AF, de Santana JO (2003) Meigs’ syndrome with elevated CA 125: case report. Sao Paulo Med J 121:210–2
Feldman ED, Hughes MS, Stratton P, Schrump DS, Alexander HR Jr (2004) Pseudo-Meigs’ syndrome secondary to isolated colorectal metastasis to ovary: a case report and review of the literature. Gynecol Oncol 93:248–51
Acknowledgements
Competing Interests: None of the authors have any financial interest directly related to this paper. This paper was presented as a poster presentation at the American College of Physician, Maryland Chapter meeting, Baltimore, MD 2004 and was awarded second place position. The authors acknowledge the valuable technical support of Ed Kramer of the Multiple Media Center of St. Agnes Hospital, MD 21228 USA
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Junaid, I., Paz, R., Salihu, H.M. et al. Pseudo-Meig’s syndrome with multiple synchronous benign and malignant pelvic tumors. Arch Gynecol Obstet 273, 315–318 (2006). https://doi.org/10.1007/s00404-005-0052-8
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00404-005-0052-8