Résumé
Objectives: To describe our experience regarding the management of five different cases with histopathologicaly confirmed diagnosis of Meig's syndrome besides differentiation this benign disease from malignant ovarian disease with similar presentation
Methods: This study was performed at three different hospitals of the Jordanian Royal Medical Services. The study was conducted out in the period between June 2011 and June 2015. The files of five cases were reviewed and data were collected, arranged in tables and statistically analyzed. The results were extracted and conclusion made
Results: Five cases, which fitted the criteria for Meig's syndrome, were included in the study. The age of patients ranged from 31 to 67 years with a median age of 46 years. The most common presentation was abdominal pain. All cases had a solid component in pelvic mass with size more than 10 cm. All cases had an elevated level of tumor marker CA125. Management options included true cut biopsy, frozen section and performing laparotomy for excision of the mass that ranged from removal of the involved ovary to removal of both ovaries with uterus and omentum. All patients had an excellent recovery after surgery
Conclusion: Meig's syndrome presented with benign ovarian tumor [fibroma or thecoma] usually more than 10 cm in diameter, ascites, pleural effusion mainly right sided with their associated symptoms, and mild elevation of CA 125 tumor marker. It was differentiated from ovarian malignancy by absence of malignant cells in ascitic and pleural fluid cytology and certainly by benign ovarian histopathology
Résumé
To describe the procedure of radical vaginal trachelectomy combined with laparoscopic pelvic lymphadenectomy, its safety, and side effects for treatment of early stage cervical cancer in patients who met the procedure's criteria. This study was conducted on 10 patients with early stage cervical cancer at Charite Campus Benjamin Franklin-Germany between February 2011 and February 2012. A total of 10 patients were studied according to the protocol, all of them underwent radical vaginal trachelectomy combined with laparoscopic pelvic lymphadenectomy for early stage cervical cancer and where seeking parenthood and followed up for its safety, and side effects. Radical vaginal trachelectomy combined with laparoscopic pelvic lymphadenectomy was an easy procedure with minimal blood loss; the average operating time was about 181 minutes, 80% of cases were squamous cell carcinoma, diagnosed by cone biopsy, while 20% were adenocarcinoma diagnosed by punch biopsy. Two cases were complicated by postoperative pelvic abscess and urinary tract infection and were managed accordingly. Radical vaginal trachelectomy combined with laparoscopic lymphadenectomy was a safe procedure with minimal side effects for preserving fertility in patients with early stage cervical cancer provided it was performed by experienced surgeons.