Subject(s)
Diagnosis, Differential , Female , Humans , Meigs Syndrome/complications , Meigs Syndrome/diagnosis , Meigs Syndrome/pathology , Mesothelioma/complications , Mesothelioma/diagnosis , Mesothelioma/pathology , Middle Aged , Pleural Effusion, Malignant/complications , Pleural Effusion, Malignant/diagnosis , Pleural Effusion, Malignant/pathology , Teratoma/complications , Teratoma/diagnosis , Teratoma/pathologyABSTRACT
Bilateral presentation of benign Struma ovarii is rare and has not been reported frequently in published literature. A 70-year-old postmenopausal female presented with progressive ascites, bilateral pleural effusion and elevated CA-125 levels. The contrast-enhanced computed tomography (CECT) of the abdomen and pelvis revealed a heterogenous mass in the left adnexa. These findings were suspicious for an ovarian malignancy. After surgery the diagnosis of non functional, bilateral benign Struma ovarii was made. Struma ovarii is a specialized ovarian teratoma composed predominantly of mature thyroid tissue. It is associated with pleural effusion and ascites (Pseudo-Meigs' syndrome) in 5% of cases. The combination of struma ovarii and elevated CA-125 levels has been reported infrequently. This is a rare case of bilateral benign struma ovarii associated with Pseudo-Meigs' syndrome and elevated CA-125 levels. Surgical excision of the ovarian masses induced immediate resolution of the ascites and pleural effusion and a reduction of the serum CA-125 level.
Subject(s)
Aged , CA-125 Antigen/blood , Female , Humans , Meigs Syndrome/pathology , Ovarian Neoplasms/diagnosis , Pelvis/diagnostic imaging , Radiography, Abdominal , Struma Ovarii/complications , Tomography, X-Ray ComputedABSTRACT
Le syndrome de Demons-Meigs est une tumeur benigne de l'ovaire avec épanchements séreux (ascite; épanchement pleural) recidivants mais resorbable apres exérèse. Il est rare. Sa physiopathologie reste obscure. Dans le cas présent; il s'agit d'un cystadénome mucineux géant de 30 kgs