title: Pseudo-Meigs' syndrome secondary to isolated colorectal metastasis to ovary: a case report and review of the literature.
abstract: BACKGROUND
  Pseudo-Meigs' syndrome is a syndrome that includes hydrothorax and/or ascites secondary to ovarian neoplasms other than benign primary tumors. Gastrointestinal malignancies, including colorectal or gastric adenocarcinoma, are rare etiologies for this syndrome.
  
  
  METHODS
  In this report, we present the case of a 49-year-old woman with metastatic colon cancer who acutely developed a massive pleural effusion and ascites coincident with a rapidly enlarging adnexal mass and a rising CA-125 level.
  
  
  CONCLUSIONS
  Seven cases of pseudo-Meigs' syndrome secondary to gastrointestinal primaries have been reported to date. This case highlights the difficulty in discerning the diagnosis of pseudo-Meigs' syndrome from that of disseminated colorectal cancer or a new primary ovarian neoplasm and the importance in making the distinction to initiate appropriate therapy.
authors.affiliation: Surgical Metabolism Section, Surgery Branch, National Cancer Institute/National Institutes of Health, Bethesda, MD 20892-1502, USA.
authors.forename: Elizabeth D
authors.initials: ED
authors.lastname: Feldman
authors.forename: Marybeth S
authors.initials: MS
authors.lastname: Hughes
authors.forename: Pamela
authors.initials: P
authors.lastname: Stratton
authors.forename: David S
authors.initials: DS
authors.lastname: Schrump
authors.forename: H Richard
authors.initials: HR
authors.lastname: Alexander
mesh_terms: D015179:Colorectal Neoplasms / Q000473:pathology*; D005260:Female; D006801:Humans; D008539:Meigs Syndrome / Q000209:etiology*; D008875:Middle Aged; D010051:Ovarian Neoplasms / Q000150:complications* / Q000556:secondary*