Leiomyoma of the ovary presenting with Meigs' syndrome
Leiomyoma of the ovary presenting with Meigs' syndrome
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DOI：
10.1111/j.1447-0756.2005.00285.x
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发表时间：
2005-01-01
影响因子：
1.6
通讯作者：
Konishi, I
中科院分区：
文献类型：
--
作者：
Kurai, M;Shiozawa, T;Konishi, I
卵巢平滑肌瘤是一种罕见的肿瘤。卵巢平滑肌瘤合并梅格斯综合征是一种极为罕见的疾病。我们报告一例卵巢平滑肌瘤出现梅格斯综合征，这是首次发现的呼吸困难的79岁妇女。全身检查发现卵巢实性肿块，腹水和胸腔积液，血清碳水化合物抗原125升高。行开腹子宫切除术和输卵管卵巢切除术。术后腹水和胸腔积液均消失。切除的肿瘤病理诊断为左侧卵巢平滑肌瘤。患者术后24个月身体健康，无复发迹象。我们还回顾了关于这种疾病的文献，并讨论了本病例的临床病理特征。
Ovarian leiomyoma is a rare tumor. Ovarian leiomyoma accompanied with Meigs' syndrome is extremely rare. We report a case of ovarian leiomyoma presenting with Meigs' syndrome, which was first noted as dyspnea in a 79-year-old woman. A whole-body examination revealed a solid mass of the ovary, accumulation of ascites and pleural effusion, and elevated serum carbohydrate antigen 125. Abdominal hysterectomy and salpingo-oophorectomy were carried out. After the surgery, ascites and pleural effusion disappeared. The pathological diagnosis of the removed tumor was leiomyoma of the left ovary. The patient has been healthy for 24 months after the surgery, with no signs of recurrence. We also review the literature on this disease and the clinicopathologic characteristics of the current case are discussed.