Bilateral ovarian fibromas associated with meigs syndrome: report of a case and review of the literature
Objective: To present a case of bilateral ovarian fibromas associated with Meigs syndrome.
Design: Descriptive case study
Setting: Soran private hospital & Medya diagnostic centre in Erbil.
Patient: A 49-year-old woman presented with bilateral ovarian masses, ascitis and hydrothorax.
Intervention: Surgical removal of both ovaries with 15 cm left ovarian mass & 5.5 right ovarian mass with total abdominal hysterectomy.
Results: Histopathological examination revealed bilateral ovarian fibromas with foci of calcification
Conclusion: The clinician should be aware about rare benign syndromes, like Meigs, which may mimic malignancy when ovarian masses associated with ascitis and mislead the diagnosis and management plan.
Lurie S. Meigs syndrome: The history of the eponym. Eur J Obstet Gynecol Reprod Biol. 2000; 92:199-204.
Gargano G, DeLano M, Zrro F, Fanizza G, Mattiola V, Schittulli F. Ovarian fibroma: Our experience of 34 cases. Eur Radiol 2004; 14:798-804.
Novoa Vargas A, Tenorio Gonzaliz F, Gomez Pedroso J, Torres Martinez A Meigs syndrome. A clinical case and review of the literature. Gynecol Obstet. 1994; 62:217-21.
Cisse CT, Ngom PM, Sangare M, Ndong M, Moreau JC. Ovarian fibroma associated with Demons-Meig’s syndrome and elevated CA125. Eur J Gynecol Oncol. 2003; 24:429-32.
Sivanesaratnam V, Dutta R, Jayalakshmi P. Ovarian fibroma-clinical and histopathologic characteristics. Int J Gynecol Obstet. 1990; 33:243-7.
Chan CY, Chan SM, Liauw L. Large abdominal mass in young girl. Br. J Radiol 2000; 73:913-4.
Samanth KK, Black WC. Benign stromal tumor associated with free peritoneal fluid. Am J Obstet Gynecol 1970; 107:538-45.
Gorlin RJ. Nevoid basal cell carcinoma syndrome. Medicine (Baltin). 1987:66:98-113.
Kimonis VE, Goldstein AM, Pastakia B .Clinical manifestation in 105 persons with nevoid basal cell carcinoma syndrome. Am J Med Genet. 1997; 69:299-308.
Gee DC, Russell P. The pathological assessement of ovarian neoplasms: The sex cord stromal tumors. Pathology 1981; 13:235-55.
Saul PB. Sex cord stromal tumors. Clin Obstet Gynecol 1985; 28:839-46.
Stephenson WM, Laing PC. Sonography of ovarian fibromas Am J Roentgenol 1985; 144:1239-40.
Schwartz RK, Levine D, Hatabu H, et al. Ovarian fibroma: Finding by contrast-enhanced MRI. Abdom Imaging 1997; 22:535-7.
Takehara M, Saito T, Manase K. Hemorrhagic infarction of fibroma MRI appearance. Arch Gynecol Obstet 2002; 266:48-9.
Abad A, Cazorla E, Ruiz F, Aznar I, Asins E, Lixiona J. Meigs syndrome with elevated CA125: Case report and review of the literature. Eur J Obstet Gynecol Reprod. Biol 1999; 82:97-99.
Abu-Hijleh MF, Habbal DA, Moqattash ST: The role of diaphragm in lymphatic absorption from the peritoneal cavity. J Anat 1995; 186(Pt3): 453-467.
Souza IRMF, Faintuch S, Godman SM. Evaluation of pelvic masses using MRI. Rev Imagen 2003; 25:5-11.
Ha HK, Baek SY, Kin HH. Krukenberg tumors: Comparison with primary ovarian tumor. J Comput Assist tomogr. 1996;20:393-8.
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