Meigs’syndrome caused by granulosa cell tumor accompanied with intrathoracic lesions:A case report

作     者：Xiao-Juan Wu Hang-Biao Xia Bao-Lin Jia Gao-Wu Yan Wen Luo Yong Zhao Xiao-Bin Luo 

作者机构：Department of Respiratory and Critical Care MedicineSuining Central HospitalSuining 629000Sichuan ProvinceChina Department of Oral and Maxillofacial SurgerySuining Central HospitalSuining 629000Sichuan ProvinceChina Department of RadiologySuining Central HospitalSuining 629000Sichuan ProvinceChina 

出 版 物：《World Journal of Clinical Cases》 (世界临床病例杂志)

年 卷 期：2021年第9卷第18期

页      面：4734-4740页

核心收录：

学科分类：1002[医学-临床医学] 100214[医学-肿瘤学] 10[医学] 

基　　金：Supported by the Scientific Research Project of Sichuan Provincial Health and Family Planning Commission No.18PJ409 

主　　题：Meigs’syndrome Granulosa cell tumor Hydrothorax Ascites Carbohydrate antigen 125 Case report 

摘      要：BACKGROUND Meigs’syndrome is regarded as a benign ovarian tumor accompanied by pleural effusion and ascites,both of which resolve after removal of the *** often seek treatment in the Department of Respiratory and Critical Care Medicine or other internal medicine departments due to symptoms caused by ascites or ***,we report a rare case of Meigs syndrome caused by granulosa cell tumor accompanied with intrathoracic *** SUMMARY A 52-year-old women was admitted to the Department of Respiratory and Critical Care Medicine due to coughing and expectoration accompanied with shortness of *** X-ray and chest computed tomography showed a modest volume of pleural fluid with pleural thickening in the right *** carbohydrate antigen 125(CA125)concentration was 150.8 U/mL(normal,0-35 U/mL)and no tumor cells were observed in pleural *** and a neoplasm with a fish meat-like appearance in the parietal pleura and nodules with a‘string of beads’-like appearance in the diaphragm were found by thoracoscopic ***,pelvic magnetic resonance revealed a pelvic mass measuring about 11.6 cm×10.0 cm×12.4 cm with heterogeneous signal intensity and multiple hypointense *** abdominal hysterectomy,bilateral adnexectomy,and separation of pelvic adhesion were performed under general *** pathology results showed granulosa cell *** the 2-mo follow-up after the surgery,the hydrothorax subsided,and the CA125 level returned to *** For postmenopausal women with unexplained hydrothorax and elevated CA125,in addition to being suspected of having gynecological malignancy,Meigs’syndrome should be considered.