A Case of Meig's Syndrome Mimicking Ovarian Malignancy: A Diagnostic Challenge

Ovarian malignancies, especially in advanced stages, are typically presented by ascites and elevated serum Ca-125 levels. Rarely pleural effusion could be seen in these cases due to metastasis or diaphragmatic transportation. Meig's syndrome defines coexistence of a benign ovarian tumor (fibrom...

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Main Authors: Göksu Göç (Author), Korhan Kahraman (Author), Salih Taşkın (Author), Evren Koçbulut (Author), Fırat Ortaç (Author)
Format: Book
Published: Medical Network, 2012-08-01T00:00:00Z.
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Summary:Ovarian malignancies, especially in advanced stages, are typically presented by ascites and elevated serum Ca-125 levels. Rarely pleural effusion could be seen in these cases due to metastasis or diaphragmatic transportation. Meig's syndrome defines coexistence of a benign ovarian tumor (fibroma, tecoma or granulose cell tumor), ascites and hydrothorax. In this report, a case of postmenauposal adnexial mass with acute ascites and elevated serum Ca-125 level, that was suspicious for an adnexial malignancy preoperatively. Intraoperative frozen section analysis revealed ovarian tecoma. Meig's syndrome is a benign pathology that mimicks ovarian malignancy. Differential diagnosis of these two situations is a diagnostic challenge especially in postmenauposal women. Intraoperative frozen section is an important diagnostic method for accurate diagnosis and proper treatment.
Item Description:1300-4751