:—Review of the Literature on Meigs' Syndrome—

概要

論文の詳細を見る
In 1934, Meigs first reported a case of the ovarian fibroma complicated with ascites and hydrothorax which was relieved by removal of the fibroma. After his report, the disorder is called Meigs' syndrome.Meigs defined the syndrome as follows. (1) Existence of ovarian fibroma, thecoma, granulosa cell tumor or Brenner tumor (2) complication of ascites (3) complication of hydrothorax (4) Subsidence of ascites and hydrothorax after removal of the tumor.Recently, the definition of Meigs' syndrome is extended from ovarian tumors to various lower abdominal tumors complicated with ascites and hydrothorax.An uncommon case of a patient with Meigs' syndrome resulting from endometrioid carcinoma of both ovaries was presented.A 50 year-old woman, married, gravida 2, para 0, complained of dyspnea and swelling of lower abdomen.On examination, bilateral pleural effusion and ascites were disclosed. Her abdomen was diffusely distended, and a rigid mass was palpable arising from the pelvis to one finger-breads below the umbilicus.At laparotomy a left ovarian mass (weighing 280g) and a right ovarian mass (weighing 390g) were found polycystic with nodular surface, and the uterus was enlarged to goose egg size.Bilateral ovarian masses were adherent to the bladder, pelvic wall, omentum and uterus. A total hysterectomy, salpingo-oophorectomy and omentectomy were performed.The removal of the masses was followed by subsidence of the pleural effusion and the ascites.Histologically the both ovarian tumors were certified as endometrioid carcinoma.She was treated with chemotherapy and X-irradiation. Now she is alive for eighteen months after operation.The survival rates of Meigs' syndrome resulting from malignant tumor, are very low. Therefore, it is important that the Meigs' syndrome resulting from malignant tumors must be diagnosed as soon as possible.
近畿産科婦人科学会の論文

:—Review of the Literature on Meigs' Syndrome—

スポンサーリンク

概要

近畿産科婦人科学会 | 論文

スポンサーリンク