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

World Journal of Clinical Cases 2021年第18期9卷 4734-4740页

作者： Xiao-Juan Wu Hang-Biao Xia Bao-Lin Jia Gao-Wu Yan Wen Luo Yong Zhao Xiao-Bin Luo Department of Respiratory and Critical Care Medicine Suining Central HospitalSuining 629000Sichuan ProvinceChina Department of Oral and Maxillofacial Surgery Suining Central HospitalSuining 629000Sichuan ProvinceChina Department of Radiology Suining Central HospitalSuining 629000Sichuan ProvinceChina

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.

关键词： meigs’syndrome Granulosa cell tumor Hydrothorax Ascites Carbohydrate antigen 125 Case report

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Clinical laboratory features of meigs’syndrome:a retrospective study from 2009 to 2018

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Frontiers of Medicine 2021年第1期15卷 116-124页

作者： Wenwen Shang Lei Wu Rui Xu Xian Chen Shasha Yao Peijun Huang Fang Wang Department of Laboratory Medicine the First Affiliated Hospital of Nanjing Medical UniversityNanjing 210029China National Key Clinical Department of Laboratory Medicine Nanjing 210029China

meigs’syndrome(MS),a rare complication of benign ovarian tumors,is easily misdiagnosed as ovarian cancer(OC).We retrospectively reviewed the clinical laboratory data of patients diagnosed with MS from 2009 to *** carbohydrate antigen 125 and HE4 levels were higher in the MS group than in the ovarian thecoma-fibroma(OTF)and healthy control groups(all P<0.05).However,the serum HE4 levels were lower in the MS group than in the OC group(P<0.001).A routine blood test showed that the absolute counts and percentages of lymphocytes were significantly lower in the MS group than in the OTF and control groups(all P<0.05).However,these variables were higher in the MS group than in the OC group(both P<0.05).The neutrophil-to-lymphocyte ratio(NLR)was also significantly lower,whereas the lymphocyte-to-monocyte ratio was higher in the MS group than in the OC group(both P<0.05).The NLR,platelet-to-lymphocyte ratio,and systemic immune index were significantly higher in the MS group than in the OTF and control groups(all P<0.05).The hypoxia-inducible factor-1 mRNA levels were also significantly higher,whereas the glucose transporter 1,lactate dehydrogenase,and enolase 1 mRNA levels were lower in peripheral CD4+T cells obtained preoperatively in a patient with MS than those in patients with OTF,patients with OC,and controls(all P<0.05).The expression of these four glucose metabolism genes was preferentially restored to normal levels after the tumor resection of MS(P<0.001).These clinical laboratory features can be useful in improving the preoperative diagnostic accuracy of MS.

关键词： meigs’syndrome ovarian thecoma-fibroma NLR(neutrophil to lymphocyte ratio) CD4^(+)T cells glucose metabolism

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