A Case of Meig’s Syndrome Mimicking Ovarian Malignancy: A Diagnostic Challenge

Göksu Göç
Korhan Kahraman
Salih Taşkın
Evren Koçbulut
Fırat Ortaç
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Ovarian malignancies, especially in advanced stages, are typically presented by ascites and elevated serum Ca-125 levels. Rarely pleural effusion could be seen in these cases due to metastasis or diaphragmatic transportation. Meig’s syndrome defines coexistence of a benign ovarian tumor (fibroma, tecoma or granulose cell tumor), ascites and hydrothorax. In this report, a case of postmenauposal adnexial
mass with acute ascites and elevated serum Ca-125 level, that was suspicious for an adnexial malignancy preoperatively. Intraoperative frozen section analysis revealed ovarian tecoma. Meig’s syndrome is a benign pathology that mimicks ovarian malignancy. Differential diagnosis of these two situations is a diagnostic challenge especially in postmenauposal women. Intraoperative frozen section is an
important diagnostic method for accurate diagnosis and proper treatment.


Meig’s syndrome, Ovarian malignancy, Frozen section, Thecoma

Copyright (c) 2012 Gynecology Obstetrics & Reproductive Medicine

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