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

Authors

  • Göksu Göç Ankara University School of Medicine Departments of Obstetrics and Gynecology, Ankara
  • Korhan Kahraman Ankara University School of Medicine Departments of Obstetrics and Gynecology, Ankara
  • Salih Taşkın Ankara University School of Medicine Departments of Obstetrics and Gynecology, Ankara
  • Evren Koçbulut Ankara University School of Medicine Departments of Obstetrics and Gynecology, Ankara
  • Fırat Ortaç Ankara University School of Medicine Departments of Obstetrics and Gynecology, Ankara

Keywords:

Meig’s syndrome, Ovarian malignancy, Frozen section, Thecoma

Abstract

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.

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Published

2012-08-06

How to Cite

1.
Göç G, Kahraman K, Taşkın S, Koçbulut E, Ortaç F. A Case of Meig’s Syndrome Mimicking Ovarian Malignancy: A Diagnostic Challenge. Gynecol Obstet Reprod Med [Internet]. 2012Aug.6 [cited 2024Mar.28];18(2):104-5. Available from: https://www.gorm.com.tr/index.php/GORM/article/view/254

Issue

Section

Case Reports