Open AccessCase of pseudo-Meigs' syndrome caused by gastric cancer-related metastatic ovarian tumor with prolonged survival
Author(s) -
Masaru Okamoto,
Kazunori Maeda,
Atsushi Yanagitani,
Kiwamu Tanaka
Publication year - 2016
Publication title -
world journal of gastrointestinal oncology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.924
H-Index - 26
ISSN - 1948-5204
DOI - 10.4251/wjgo.v8.i11.801
Subject(s) - medicine , ascites , pleural effusion , meigs' syndrome , oophorectomy , ovarian cancer , malignant pleural effusion , cancer , surgery , gastrectomy , effusion , chemotherapy , ovary , gastroenterology , hysterectomy
A 48-year-old woman presented with bilateral enlarged ovaries, ascites, bilateral pleural effusion, and advanced gastric cancer. Pleural fluid cytology did not reveal malignant cells. Oophorectomy, performed as a palliative procedure, was followed by rapid resolution of the pleural effusion and ascites. The patient was diagnosed with pseudo-Meigs' syndrome, and underwent chemotherapy followed by partial gastrectomy. At the last follow-up, 84 mo following oophorectomy, she was alive, and free of disease recurrence, despite not receiving any further treatment. Pseudo-Meigs' syndrome should be considered in patients with bilateral ovarian tumors, ascites and pleural effusion, and treatment such as oophorectomy may result in symptomatic improvement and better prognosis in similar patients.