Open AccessA Struma Ovarii Associated with Pseudo-Meigs’ Syndrome is Misdiagnosed as Advanced Ovarian Cancer: A Case Report
Author(s) -
Sedigheh Ghasemian Dizaj Mehr,
Haleh Ayatollahi,
Afshin Mohammadi,
Siamak Naji Haddadi,
Farzaneh Rashidi Fakari
Publication year - 2021
Publication title -
international journal of cancer management
Language(s) - English
Resource type - Journals
eISSN - 2538-4422
pISSN - 2538-497X
DOI - 10.5812/ijcm.110036
Subject(s) - struma ovarii , meigs' syndrome , medicine , ovarian cancer , ascites , presentation (obstetrics) , asymptomatic , cancer , gynecology , thyroid , radiology , pathology
Introduction: A struma ovarii is a benign monodermal teratoma, composed of mature thyroid tissue. The presentation of this disease with pseudo-Meigs’ syndrome [characterized by ascites, pleural effusions, and elevated cancer antigen-125 (CA-125) levels] may result in an advanced ovarian cancer misdiagnosis. Case Presentation: The patient was a 54-year-old woman with dyspnea, abdominal distention, and pseudo-Meigs’ syndrome. She had a final diagnosis of struma ovarii, misdiagnosed as advanced ovarian cancer. She is currently asymptomatic (after surgery) and has a normal CA-125 level. Conclusions: The preoperative diagnosis of struma ovarii is difficult, and if it presents with pseudo-Meigs’ syndrome, it may be initially misdiagnosed as advanced ovarian cancer. Using the frozen-section procedure, unnecessary extensive surgeries can be prevented.