title: Etiology of Ascites and Pleural Effusion Associated with Ovarian Tumors: Literature Review and Case Reports of Three Ovarian Tumors Presenting with Massive Ascites, but without Peritoneal Dissemination.
abstract: Borderline ovarian tumors are benign but relatively large tumors that are often initially mistaken as ovarian cancers. We report three cases of stage I borderline ovarian tumors having massive ascites that we (preoperatively) suspected of being advanced ovarian cancer. The three patients (35, 47, and 73 years old) reported feeling fullness of the abdomen before consulting their gynecologist. By CT scan, they were diagnosed with a pelvic tumor accompanied by massive ascites, the diameters of which were 11, 20, and 11 cm, respectively. Postsurgical pathology showed all were stage I borderline ovarian tumors without dissemination; two were mucinous and one was serous. The amount of ascites was 6,300, 2,600, and 3,600 mL, respectively, and was serous in all. Cytodiagnosis of the ascites found that one was positive for tumor cells and two were negative. After resection of the mass, the ascites disappeared in all three cases. No pleural effusion was present at any time. The literature is reviewed concerning ascites and pleural effusions linked to ovarian tumors, and a supposition is forwarded of why pleural effusion presents sporadically in these cases.
authors: Department of Obstetrics and Gynecology, Kaizuka City Hospital, 3-10-20 Hori Kaiduka-shi, Osaka-fu 597-0015, Japan.
authors: Ai
authors: A
authors: Miyoshi
authors: Department of Obstetrics and Gynecology, Kaizuka City Hospital, 3-10-20 Hori Kaiduka-shi, Osaka-fu 597-0015, Japan.
authors: Takashi
authors: T
authors: Miyatake
authors: Department of Obstetrics and Gynecology, Kaizuka City Hospital, 3-10-20 Hori Kaiduka-shi, Osaka-fu 597-0015, Japan.
authors: Takeya
authors: T
authors: Hara
authors: Department of Obstetrics and Gynecology, Kaizuka City Hospital, 3-10-20 Hori Kaiduka-shi, Osaka-fu 597-0015, Japan.
authors: Asuka
authors: A
authors: Tanaka
authors: Department of Obstetrics and Gynecology, Kaizuka City Hospital, 3-10-20 Hori Kaiduka-shi, Osaka-fu 597-0015, Japan.
authors: Naoko
authors: N
authors: Komura
authors: Department of Obstetrics and Gynecology, Kaizuka City Hospital, 3-10-20 Hori Kaiduka-shi, Osaka-fu 597-0015, Japan.
authors: Shinnosuke
authors: S
authors: Komiya
authors: Department of Obstetrics and Gynecology, Kaizuka City Hospital, 3-10-20 Hori Kaiduka-shi, Osaka-fu 597-0015, Japan.
authors: Serika
authors: S
authors: Kanao
authors: Department of Obstetrics and Gynecology, Kaizuka City Hospital, 3-10-20 Hori Kaiduka-shi, Osaka-fu 597-0015, Japan.
authors: Masumi
authors: M
authors: Takeda
authors: Department of Obstetrics and Gynecology, Kaizuka City Hospital, 3-10-20 Hori Kaiduka-shi, Osaka-fu 597-0015, Japan.
authors: Mayuko
authors: M
authors: Mimura
authors: Department of Obstetrics and Gynecology, Kaizuka City Hospital, 3-10-20 Hori Kaiduka-shi, Osaka-fu 597-0015, Japan.
authors: Masaaki
authors: M
authors: Nagamatsu
authors: Department of Obstetrics and Gynecology, Kaizuka City Hospital, 3-10-20 Hori Kaiduka-shi, Osaka-fu 597-0015, Japan.
authors: Takeshi
authors: T
authors: Yokoi