MEIGS’ SYNDROME: CLINICAL FEATURES AND TREATMENT

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M. Santangelo
M. Battaglia
G. Vescio
G. Sammarco
G. Gallelli
A. Vetere
L. Sommella
E. Triggiani

Abstract

Meigs’ syndrome is a rare clinical entity characterised with ovarian benign tumour, ascites and hydrothorax. Between Genuary ‘94 - September ‘98 we observed three patients with: ovarian neoformation, light (1 patient), moderate (2 patients) monolateral pleural effusion, moderate (2 patients) and considerable (1 patient) ascites.


In all patients the preoperative evaluation (siero-haematologic routine, Ca 125 and other onchologic markers, chest X-ray, abdominal and pelvic ultrasonography, total-body Tc, cytological analysis of pleural and abdominal effusion) was subgestive for malignancy but not confirmed it. So an explorative laparotomy with histological extemporary analysis was performed. The results were: 1 fibrotecomas, 1 fibroma, 1 ovarian inflammation with cystic luteinization areas and fibromatosis uterine. All three patients had a good postoperative course. The symptomatology and the effusions disappeared 7-10 days after operation. The first two cases were diagnosticated as classic Meigs’ Syndrome, the third one, instead, as a Pseudo-Meigs’ Syndrome.


In conclusion the A.A., according to literature and their experiences, underline:


1) an ovarian mass with pleural and abdominal effusion not always rappresents an advanced malignancy;


2) even if elevated Ca 125 value is usually associated to a ovarian malignancy, there are some benign lesions in which we observed elevated level of this marker


3) the removal of the ovarian mass is the only resolutive treatment for these patients.


 

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How to Cite
Santangelo, M., et al. “MEIGS’ SYNDROME: CLINICAL FEATURES AND TREATMENT”. Annali Italiani Di Chirurgia, vol. 71, no. 1, Jan. 2000, pp. 115-20, https://annaliitalianidichirurgia.it/index.php/aic/article/view/1618.
Section
Review