[A case of pseudo-Meigs' syndrome caused by metastatic ovarian tumors from gastric cancer].
A 54-year-old woman brought by ambulance had a lower abdominal mass and cough. Bilateral pleural effusion was revealed by X-ray and CT. An abdominal CT and MRI disclosed bilateral ovarian tumors which were considered to be metastatic tumors. GI endoscopy disclosed IIc-like advanced gastric cancer on the posterior wall of the stomach. Distal gastrectomy, total hysterectomy and bilateral adnexectomy were carried out. Gastric cancer was pathologically diagnosed as signet-ring cell carcinoma. Ovarian tumors had a similar histology, which suggested metastasis from gastric cancer. Since bilateral pleural effusion completely vanished after the ovarian resection, we concluded that this case coincided with pseudo-Meigs' syndrome. Pseudo-Meigs' syndrome of metastatic ovarian tumor from gastric cancer is very rare, only 3 cases having been reported in Japan.
Department of Surgery, Nagahama Red Cross Hospital, Japan. yuji_dec@jd6.so-net.ne.jp
Yuji
Y
Okazaki
Kei
K
Yonezawa
Takumi
T
Shimomatsuya
Yasunobu
Y
Komai
Naoya
N
Yukioka
D018279:Carcinoma, Signet Ring Cell / Q000150:complications / Q000473:pathology* / Q000556:secondary; D005260:Female; D006801:Humans; D008539:Meigs Syndrome / Q000175:diagnosis / Q000209:etiology*; D008875:Middle Aged; D010051:Ovarian Neoplasms / Q000150:complications* / Q000556:secondary*; D013274:Stomach Neoplasms / Q000473:pathology*