- 期刊
Pseudo-Meigs Syndrome and Elevated Levels of Tumor Markers Associated with Benign Ovarian Tumors - Two Case Reports
卵巢良性腫瘤引起假性梅格症狀及腫瘤指數上升－二病例報告
摘要
停經後婦女經超音波檢查後，若發現有多房性（multilocular）卵巢腫瘤，並合併胸水、腹水及腫瘤指數上升的情形下，其惡性的比例達九成以上。本篇文章敘述的兩位婦女，均有上述的臨床表現，經過剖腹探查，細胞學檢查及腫瘤切除後，臨床症狀及腫瘤指數均回復正常，而病理報告證實為甲狀腺腫狀卵巢瘤（struma ovarii）及黏液性卵巢囊腫（mucinous cystadenoma）。因此二腫瘤均屬良性，故病程上可歸類為假性梅格症狀（pseudo-Meigs syndrome）。良性卵巢腫瘤有如此的臨床表現並不常見，亦提醒我們腫瘤指數的上升是非特定的（non-specific）。
關鍵字
無資料並列摘要
Elevated tumor markers for a post-menopausal woman presenting with a multilocular adnexal mass, ascites, and pleural effusion were interpreted as being highly suspicious of malignancy. This paper describes two cases of ovarian tumors presenting with all signs of malignancy. Following surgical excision of the masses, and histopathological assay, a benign pure struma ovarii and a mucinous cystadenoma were diagnosed by pathologists. The immediate and complete resolution of symptoms were achieved post-operatively, and the previously-evident abnormal tumor markers rapidly declined to the normal range, the two tumors were subsequently classified as pseudo-Meigs' syndromes.