Pseudo-Meig’s syndrome with multiple synchronous benign and malignant pelvic tumors

Junaid, Imran; Paz, R Díaz-Romero; Salihu, Hamisu M.; Sharma, Puneet; Aliyu, Zakari Y.

doi:10.1007/s00404-005-0052-8

Cited by 3 publications

(3 citation statements)

References 10 publications

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“…It is important to note that exertional dyspnea and wheeze, the chief complaint of the present patient, were also described in other similar cases [4,5] as initial symptoms. Since those symptoms are quite common in medical practice, it is important for clinicians to consider Meigs or pseudo-Meigs's syndrome when seeing patients who present bilateral pleural effusion without underlying conditions such as cardiac failure.…”

Section: Discussionsupporting

confidence: 78%

“…Reported pathologies presenting as pseudoMeigs' syndrome include primary ovarian tumor such as germ cell tumor [6], endometrioid adenocarcinoma [7], struma ovarii [8], and metastatic ovarian tumor [9]. In addition to a single pathology, multiple concurrent intrapelvic tumors have also been described as a cause of pseudo-Meigs' syndrome [5]. Although the present patient had uteral leiomyoma, a reported cause for pseudo-Meigs' syndrome [4], ovarian cancer is likely to have been the causative pathology, since the leiomyoma had been followed up annually for years without significant change.…”

Section: Discussionmentioning

confidence: 99%

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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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Section: Discussionsupporting

confidence: 78%

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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“…Table 1 is depicting the presentation and the pathological properties of all the previous reported cases of MMMT of the fallopian tube [1, 3-4, 12-14, 17-26].On the other hand, the synchronous presentation of endometrial and ovarian carcinomas of the endometrioid type is well described; little is known about a similar phenomenon involving the endometrium and fallopian tube. A poorly differentiated synchronous adenocarcinoma of the fallopian tube and the uterus with bilateral ovarian masses was reported [27]. Also, Culton et al studied 13 patients with synchronous carcinomas of the uterus and fallopian tube, but all of them were endometrioid carcinoma except one.…”

Section: Discussionmentioning

confidence: 96%

Simultaneous primary carcinosarcoma of the uterus and the bilateral fallopian tubes: an extremely rare case and review of the literature

Baloğlu¹,

Güven²,

Yavuzcan³

et al. 2008

Gynecol Surg

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Malignant mixed mullerian tumors (MMMTs) are very rare neoplasms of the fallopian tube, consisting of <1% of all genital sarcomas. The prognosis of fallopian tube MMMTs is poor. In most cases, the patient is lost in the first 2 years. A case of simultaneous primary carcinosarcoma of the uterus and the bilateral fallopian tubes is reported. Six regimens of carboplatin/paclitaxel combination therapy were administered to the patient after surgery. During the 32-month follow-up of the patient, recurrence and metastasis were not determined. The speculations about the pathological origins and the treatment of MMMTs still continue. Although it is an uncommon occurrence, it has been shown that these tumors may exist simultaneously in different genital organs too.

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Predictors and consequences of nonadherence to antihypertensive medication

Sharma¹

2007

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Pseudo-Meig’s syndrome with multiple synchronous benign and malignant pelvic tumors

Abstract: 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.

Cited by 3 publications

References 10 publications

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

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

Simultaneous primary carcinosarcoma of the uterus and the bilateral fallopian tubes: an extremely rare case and review of the literature

Predictors and consequences of nonadherence to antihypertensive medication

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