Pseudo-Meigs syndrome and elevated CA125 associated with struma ovarii.
BACKGROUND
Struma ovarii is a rare form of ovarian neoplasm composed entirely and predominantly of thyroid tissue. The association of pseudo-Meigs syndrome, elevation of CA125 and hyperthyroidism to struma ovarii is a rare condition.


METHODS
We report an unusual presentation of a postmenopausal woman with benign struma ovarii associated with pseudo-Meigs syndrome, hypertiroidism, and elevated CA125 serum level, and a large complex right pelvic mass thereby mimicking an ovarian cancer.


CONCLUSIONS
Struma ovarii is a rare cause of ascites, hydrothorax, elevated CA125, and hyperthyroidism. This rare condition should be considered in the differential diagnosis in patients with ascites and pleural effusions but with negative cytology.
Loizzi
Vera
V
Department of Obstetrics and Gynecology, University of Bari, Piazza Giulio Cesare, 11, 70124 Bari, Italy. vloizzi@tiscali.it
Cormio
Gennaro
G
Resta
Leonardo
L
Fattizzi
Nicola
N
Vicino
Mario
M
Selvaggi
Luigi
L
D000368:Aged; D018394:CA-125 Antigen / Q000097:blood*; D002276:Carcinoid Tumor / Q000097:blood* / Q000175:diagnosis; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D006980:Hyperthyroidism / Q000097:blood; D008539:Meigs Syndrome / Q000097:blood* / Q000175:diagnosis; D010051:Ovarian Neoplasms / Q000097:blood* / Q000175:diagnosis; D013330:Struma Ovarii / Q000097:blood* / Q000175:diagnosis
D018394:CA-125 Antigen