Sujets)
Diagnostic différentiel , Femelle , Humains , Syndrome de Meigs/complications , Syndrome de Meigs/diagnostic , Syndrome de Meigs/anatomopathologie , Mésothéliome/complications , Mésothéliome/diagnostic , Mésothéliome/anatomopathologie , Adulte d'âge moyen , Épanchement pleural malin/complications , Épanchement pleural malin/diagnostic , Épanchement pleural malin/anatomopathologie , Tératome/complications , Tératome/diagnostic , Tératome/anatomopathologieRésumé
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.
Sujets)
Sujet âgé , Antigènes CA-125/sang , Femelle , Humains , Syndrome de Meigs/anatomopathologie , Tumeurs de l'ovaire/diagnostic , Pelvis/imagerie diagnostique , Radiographie abdominale , Goitre ovarien/complications , TomodensitométrieRésumé
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