Pseudo-Meigs' syndrome associated to renal pelvis tumor

Tessmer, Chiara S.; Barcellos, Franklin Corrêa; Falchi, Luiz C.

doi:10.1590/s1677-55382005000300010

Cited by 4 publications

(4 citation statements)

References 3 publications

(5 reference statements)

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“…The term Pseudo-Meigs' syndrome includes all benign (other than fibromas) and malignant ovarian tumors or ovarian metastasis [3]. They are mostly from gastro-intestinal (colo-rectal and gastric) cancers [4] but also from breast [5], renal cancers [6] and peritoneal gliomatosis [7]. The syndrome has also been reported in a few cases of leiomyomas of the uterus [8] and of the broad ligament [9].…”

Section: Discussionmentioning

confidence: 99%

Pseudo-Meigs syndrome in association with primitive peritoneal tumor

Neef¹,

Noël²,

Buxant³

2012

OJOG

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We report the case of a 61-year old woman presented with a voluminous centro-pelvic mass (22 × 17 cm), hydrothorax and ascites. Serum CA-125 was high (11,000 UI/ml). An explorative laparotomy located the mass between the rectum and the posterior wall of the uterus. The histological examination showed a primitive peritoneal tumor with serous and endometrioid differentiations. There was a left ovarian metastasis and both peritoneal and pleural liquids revealed no sign of malignancy. After the incomplete surgery, the hydrothorax and ascites decreased considerably. This association of Pseudo-Meigs’ syndrome with primitive peritoneal tumor is uncommon. To our knowledge this is the first case described through a Medline search

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Section: Discussionmentioning

confidence: 99%

Pseudo-Meigs syndrome in association with primitive peritoneal tumor

Neef¹,

Noël²,

Buxant³

2012

OJOG

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“…However, elevated serum CA125 has been reported in various cases of pseudo-Meigs' syndrome associated with metastatic ovarian cancer [9], ovarian benign tumors such as struma ovarii [10], hemangioma [11] and germ cell tumor [6], uteral [12] and renal tumor [13]), and collagen vascular disease simulating pseudo-Meigs' syndrome [14]. Thus, elevated CA125 has to be interpreted with caution in managing relevant patients.…”

Section: Discussionmentioning

confidence: 99%

Pseudo-Meigs’Syndrome as a Cause of Exertional Dyspnea: A Case Report

Ehara¹,

Koga

You

et al. 2009

Kurume Med. J.

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INTRODUCTIONIt is not rare to see patients with bilateral pleural effusion in clinical practice, and it is not unusual for such patients to present with exertional dyspnea [1]. Although several cardiopulmonary diseases account for most cases of pleural effusion [2], it occurs in diverse conditions and diseases. Bilateral pleural effusion develops in several systemic conditions such as hypoalbuminemia and collagen vascular diseases, and even in conditions unrelated to the cardiopulmonary system, including ovarian diseases such as Meigs' syndrome [3], a rare condition characterized by ovarian fibroma complicated by ascites and pleural effusion. We describe herein a patient presenting with exertional dyspnea who was diagnosed with pseudoMeigs' syndrome accompanying ovarian cancer. CASE REPORTA 61-year-old woman sought medical attention because of exertional dyspnea and an occasional wheeze that had developed one month previously without a noticeable triggering episode. She never smoked, consumed alcohol or took any medications. She underwent appendectomy at the age of nineteen, and was diagnosed when she was fifty as having myoma uteri, which was in stable condition on periodic check-ups. Her mother and a brother had diabetes, and another brother died of gastric cancer. Vital signs on presentation were as follows; blood pressure, 146/96 mmHg; pulse rate, 94 per minute with a regular rhythm; body temperature, 36.7°C; and respiration rate, 22 per minutes. She was neither anemic nor icteric. Finger clubbing was not noted. Neither lymphadenopathy nor venous dilation was noted on the neck. Thoracic examinations revealed diminished breath sound and dullness on percussion bilaterally. No wheeze was audible on this occasion. Heart sounds were not particular. Abdomen was flat, and there were no tender areas or masses on palpation. Neurological status was normal. Routine laboratory values were within the normal Kurume Medical Journal, 56, 85-87, 2009 Summary: A 61-year-old otherwise healthy woman presented with gradually worsening exertional dyspnea. Routine examinations revealed bilateral pleural effusion with no other notable cardiopulmonary diseases. Systemic examinations showed ascites and a pelvic tumor, which turned out to be right ovarian endometrioid adenocarcinoma. Surgical removal and chemotherapy against the ovarian cancer resulted in disappearance of the ascites and pleural effusion, establishing a diagnosis of pseudo-Meigs' syndrome. It is common for reported cases of pseudoMeigs' syndrome to initially present with dyspnea, therefore it is important to consider this disorder when attempting a differential diagnosis in female patients presenting with dyspnea without other noticeable conditions.

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“…Regarding pleural fluid characteristics, 60% were exudates and 61.4% had nonblood macroscopic appearance. Pseudo-Meigs' syndrome has already been reported associated with other tumors besides the ovary, with some reported cases referring to metastases of digestive tract and renal pelvis [6][7][8]. So in the presence of the triad (adnexal mass, pleural effusion and ascites) we must consider the differential diagnosis between benign and malignant abdominal and pelvic tumors that are not restricted to primary ovarian tumors.…”

Section: Case Presentationmentioning

confidence: 99%

"High Grade Serous Ovarian Cancer Presenting as Pseudo-Meigs Syndrome: A Case Report"

Silva

2021

BJSTR

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BackgroundOvarian cancer (OC) is the most lethal gynecological malignancy with an overall 5-year survival of 45% [1]. Presence of pleural effusion, ascites, adnexal mass, and high levels of pretreatment CA125 are very suggestive of malignant ovarian tumor. Malignant pleural effusion must be confirmed as it is associated with worse prognosis and can influence the decision of primary treatment. Classic Meigs' syndrome (MS) was first described in 1937 by Meigs JW and Cass JW and consists of a benign solid ovarian fibroma with ascites and hydrothorax [2]. Both ascites and pleural effusion resolve after tumor removal. The prevalence of the syndrome is low but has important clinical implication as it mimics advanced malignant ovarian tumor presentation. In recent times other syndromes have emerged related to classic MS, namely malignant pseudo-Meigs'(Pseudo MS) which is referred to patients with pleural effusion, ascites and other benign or even malignant pelvic or abdominal tumors that lack evidence of peritoneal or pleural spread of the tumor (negative pleural and peritoneal fluid cytology and/or no malignant involvement in biopsy samples [3,4].Although they are well-recognized syndromes, their etiology is not well defined and there are contradictory data regarding their

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Pseudo-Meigs' syndrome associated to renal pelvis tumor

Cited by 4 publications

References 3 publications

Pseudo-Meigs syndrome in association with primitive peritoneal tumor

Pseudo-Meigs syndrome in association with primitive peritoneal tumor

Pseudo-Meigs’Syndrome as a Cause of Exertional Dyspnea: A Case Report

"High Grade Serous Ovarian Cancer Presenting as Pseudo-Meigs Syndrome: A Case Report"

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