Ovarian granulosa cell tumor presenting as Meigs' syndrome with elevated CA125.
Herein, a rare case of ovarian granulosa cell tumor, presenting as Meigs' syndrome, with elevated carbohydrate antigen 125 (CA125), is reported. A 69-year-old woman was admitted for the investigation of abdominal fullness and dyspnea. A preoperative examination revealed a huge pelvic tumor and an abdominopelvic magnetic resonance image (MRI) assumed ovarian cancer. A chest computed tomography (CT) scan revealed pleural effusion. A laparotomy confirmed the huge mass to be an ovarian tumor. A total abdominal hysterectomy (TAH), with a bilateral salpingo-oophorectomy (BSO) and partial omentectomy, was performed. Although short-term intrathoracic drainage was required, the hydrothorax and ascites rapidly resolved in the postoperative period.
Choi
Kwon
K
Department of Internal Medicine, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Seoul, Korea.
Lee
Hyun Jong
HJ
Pae
Ji Cheul
JC
Oh
Suk Joong
SJ
Lim
Seong Yong
SY
Cho
Eun Yoon
EY
Lee
Seung Sei
SS
D000368:Aged; D018394:CA-125 Antigen / Q000097:blood*; D003937:Diagnosis, Differential; D005260:Female; D006106:Granulosa Cell Tumor / Q000175:diagnosis*; D006801:Humans; D008538:Meige Syndrome / Q000175:diagnosis*; D010051:Ovarian Neoplasms / Q000175:diagnosis*
D018394:CA-125 Antigen