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Ovarian dysgerminoma with pseudo-Meigs syndrome: A case report.
Li, Xuebo; Chen, Deqing; Jin, Xiuhui; Xu, Guangtao; Hu, Bo; Zeng, Xiansi; Jin, Xin.
Afiliación
  • Li X; Key Laboratory of Evidence Identification in Universities of Shandong Province, Shandong University of Political Science and Law, Jinan, SD.
  • Chen D; Forensic and Pathology Laboratory, Jiaxing University Medical College, Jiaxing, ZJ, China.
  • Jin X; Department of Immunology and Human Biology, University of Toronto, Toronto, ON, Canada.
  • Xu G; Forensic and Pathology Laboratory, Jiaxing University Medical College, Jiaxing, ZJ, China.
  • Hu B; Department of Pathology and Key-Innovative Discipline Molecular Diagnostics, Jiaxing Hospital of Traditional Chinese Medicine, Jiaxing University, Jiaxing, ZJ, China.
  • Zeng X; Forensic and Pathology Laboratory, Jiaxing University Medical College, Jiaxing, ZJ, China.
  • Jin X; Forensic and Pathology Laboratory, Jiaxing University Medical College, Jiaxing, ZJ, China.
Medicine (Baltimore) ; 100(23): e26319, 2021 Jun 11.
Article en En | MEDLINE | ID: mdl-34115045
RATIONALE: Dysgerminoma is a rare malignant tumor of the ovary, more frequently occurring in young women. The main signs of pseudo-Meigs syndrome (PMS) are ascites and hydrothorax accompanying benign or malignant ovarian tumors (no fibroma or fibroma-like tumor). PATIENT CONCERNS: A 19-year-old woman with fever and chest tightness for 2 days. DIAGNOSES: Pectoral-abdominal computed tomography (CT) scan and contrast-enhanced magnetic resonance imaging revealed a large amount of right pleural effusion, a small amount of ascites, and a huge abdominopelvic mass measuring about 29.2cm × 11.8cm × 8.4 cm in the left ovary. The result of hydrothorax examination was consistent with the diagnosis of exudative pleural effusion. In addition, Rivalta-test showed a positive result and lactate dehydrogenase was elevated. The histopathological diagnosis was a giant germ cell tumor, which was consistent with dysgerminoma in terms of both morphology and immunophenotype. Based on these findings, a diagnosis of malignant ovarian neoplasm with PMS was made. INTERVENTIONS: Surgical resection of the tumor was performed. OUTCOMES: The patient recovered well after operation, and the pleural effusion and abdominal ascites vanished. No recurrence was observed during the 1-year follow-up period. LESSONS: Ovarian dysgerminoma with PMS is a rare malignant tumor of the ovary, which often occurs in young women. It should be considered in differential diagnosis of patients with a pelvic mass, ascites and pleural effusion. Early diagnosis and surgical treatment are beneficial to prolonged survival.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Neoplasias Ováricas / Derrame Pleural / Ascitis / Ovariectomía / Disgerminoma / Síndrome de Meigs Tipo de estudio: Diagnostic_studies / Etiology_studies / Screening_studies Límite: Adult / Female / Humans Idioma: En Revista: Medicine (Baltimore) Año: 2021 Tipo del documento: Article Pais de publicación: Estados Unidos
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Neoplasias Ováricas / Derrame Pleural / Ascitis / Ovariectomía / Disgerminoma / Síndrome de Meigs Tipo de estudio: Diagnostic_studies / Etiology_studies / Screening_studies Límite: Adult / Female / Humans Idioma: En Revista: Medicine (Baltimore) Año: 2021 Tipo del documento: Article Pais de publicación: Estados Unidos