1/10. Pseudo-meigs syndrome and elevated levels of tumor markers associated with benign ovarian tumors--two case reports.Elevated tumor markers for a post-menopausal woman presenting with a multilocular adnexal mass, ascites, and pleural effusion were interpreted as being highly suspicious of malignancy. This paper describes two cases of ovarian tumors presenting with all signs of malignancy. Following surgical excision of the masses, and histopathological assay, a benign pure struma ovarii and a mucinous cystadenoma were diagnosed by pathologists. The immediate and complete resolution of symptoms were achieved post-operatively, and the previously-evident abnormal tumor markers rapidly declined to the normal range, the two tumors were subsequently classified as pseudo-Meigs' syndromes.- - - - - - - - - - ranking = 1keywords = struma ovarii, ovarii, struma (Clic here for more details about this article) |
2/10. struma ovarii associated with pseudo-Meigs' syndrome and elevated serum CA 125.BACKGROUND: struma ovarii, presenting as pseudo-Meigs' syndrome with an elevated CA 125 level, is a rare condition. CASE: A 65-year-old patient presented with ascites, hydrothorax, right ovarian mass, and elevated CA 125 level. These findings were suspicious for an ovarian malignancy. The mass was removed and revealed struma ovarii, a specialized ovarian teratoma composed predominantly of mature thyroid tissue. In the setting of ascites and hydrothorax, the condition is known as pseudo-Meigs' syndrome. This is the second reported case in the English language literature of pseudo-Meigs' syndrome with an elevated CA 125 level resulting from struma ovarii. CONCLUSION: struma ovarii is a rare cause of ascites, hydrothorax, and an elevated CA 125 level.- - - - - - - - - - ranking = 2.882054232903keywords = struma ovarii, ovarii, struma (Clic here for more details about this article) |
3/10. Cystic struma ovarii presenting with ascites and an elevated CA-125 level. A case report.BACKGROUND: struma ovarii is a monodermal teratoma that usually presents as a solid pelvic mass. Occasionally the lesions are cystic. Rare cases present with ascites or pseudo-Meigs' syndrome. The association of a cystic struma ovarii with ascites and an elevated CA-125 level is exceptionally rare. CASE: A 51-year-old woman presented with ascites and a cystic pelvic mass. There was marked elevation of her CA-125 level. The clinical impression was ovarian carcinoma. Frozen section revealed a multicystic struma ovarii. CONCLUSION: struma ovarii can mimic ovarian carcinoma clinically, particularly if cystic and associated with ascites and an elevated CA-125 level.- - - - - - - - - - ranking = 6.2940180776343keywords = struma ovarii, ovarii, struma (Clic here for more details about this article) |
4/10. Pseudo-Meigs' syndrome associated with malignant struma ovarii: a case report.BACKGROUND: Malignant struma ovarii is a rare tumor, consisting of a struma ovarii with malignant transformation. The association of a malignant struma ovarii with pseudo-Meigs' syndrome and elevated Ca-125 levels has been never reported. CASE: A 66-year-old woman presented with monolateral ovarian mass, ascites, hydrothorax, and elevated Ca-125 levels. Optimal medical staging was performed. Definitive histological examination revealed a malignant struma ovarii. The immediate and complete resolution of symptoms and rapid decline of both Ca-125 and thyroglobulin levels to normal value were achieved post-operatively. After counseling, strict follow-up was planned, and no adjuvant therapy was administered. CONCLUSION: We report the first case of pseudo-Meigs' syndrome associated with malignant struma ovarii and elevated Ca-125 levels. The choice of not performing adjuvant therapy is feasible after optimal surgery and adequate staging procedure given to the usually clinical benign course and the low incidence of metastases in malignant struma ovarii. Careful patient counseling is required.- - - - - - - - - - ranking = 10keywords = struma ovarii, ovarii, struma (Clic here for more details about this article) |
5/10. Pseudo-meigs syndrome and elevated CA125 associated with struma ovarii.BACKGROUND: struma ovarii is a rare form of ovarian neoplasm composed entirely and predominantly of thyroid tissue. The association of pseudo-meigs syndrome, elevation of CA125 and hyperthyroidism to struma ovarii is a rare condition. CASE: We report an unusual presentation of a postmenopausal woman with benign struma ovarii associated with pseudo-meigs syndrome, hypertiroidism, and elevated CA125 serum level, and a large complex right pelvic mass thereby mimicking an ovarian cancer. CONCLUSIONS: struma ovarii is a rare cause of ascites, hydrothorax, elevated CA125, and hyperthyroidism. This rare condition should be considered in the differential diagnosis in patients with ascites and pleural effusions but with negative cytology.- - - - - - - - - - ranking = 6.2940180776343keywords = struma ovarii, ovarii, struma (Clic here for more details about this article) |
6/10. Pseudo Meigs' syndrome. A case report.The association of ascites, hydrothorax and struma ovarii has been previously reported in the literature. This case is added to the literature describing a variant of Meigs' syndrome, or pseudo Meigs' syndrome. A discussion of the origin of ascitic fluid illustrates how little is known about these conditions as well as the importance of their careful differential diagnosis.- - - - - - - - - - ranking = 1keywords = struma ovarii, ovarii, struma (Clic here for more details about this article) |
7/10. struma ovarii with pseudo-Meigs' syndrome: report of a case and review of the literature.A case of struma ovarii with ascites and hydrothorax is reported. This unusual rare association is labeled as pseudo-Meigs' syndrome to differentiate it from conventional Meigs' syndrome in which the ovarian tumor is a fibroma. We discuss the diagnostic problems of this condition, and present a brief review of the reported cases in the literature.- - - - - - - - - - ranking = 1.5880361552687keywords = struma ovarii, ovarii, struma (Clic here for more details about this article) |
8/10. struma ovarii presenting as acute pseudo-meigs syndrome with an elevated CA 125 level.A 62-year-old woman presented with acute hydrothoraces and ascites. The CA 125 level was greatly elevated and pelvic ultrasound revealed an adnexal mass with solid and cystic components. At surgery a benign pure struma ovarii was diagnosed and following removal of the tumour the patient had immediate and complete resolution of her symptoms. This is the first report of struma ovarii causing both pseudo-meigs syndrome and a marked elevation of CA 125.- - - - - - - - - - ranking = 2.5880361552687keywords = struma ovarii, ovarii, struma (Clic here for more details about this article) |
9/10. Atypical Meigs' syndrome and bilateral ovarian stromal hyperplasia. A case report.BACKGROUND: Atypical Meigs' syndrome has been observed in patients with dermoid tumors, struma ovarii, uterine leiomyomata and other benign pelvic tumors except for ovarian fibromas. Meigs' and atypical Meigs' syndrome present management decisions complicated by a high index of suspicion for malignancy. CASE: A 43-year-old woman, gravida 1, para 1, with ascites; a pleural effusion; radiologic evidence of enlarged, cystic adnexa; and a normal CA-125 level was found to have cortical stromal hyperplasia on bilateral ovarian pathologic evaluation. CONCLUSION: This is the first case of cortical stromal hyperplasia presenting with bilateral involvement of small ovaries, ascites and a pleural effusion. Meigs' syndrome and its variants develop with clinical pictures suggestive of malignancy. Thorough evaluation and individualized treatment are necessary.- - - - - - - - - - ranking = 1keywords = struma ovarii, ovarii, struma (Clic here for more details about this article) |
10/10. ascites and hydrothorax in association with struma ovarii.A case is presented of ascites and hydrothorax in association with struma ovarii. Nine previously reported cases are reviewed and the possible causes of the ascites and hydrothorax discussed.- - - - - - - - - - ranking = 5keywords = struma ovarii, ovarii, struma (Clic here for more details about this article) |
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