title: Case of pseudo-Meigs' syndrome caused by gastric cancer-related metastatic ovarian tumor with prolonged survival.
abstract: A 48-year-old woman presented with bilateral enlarged ovaries, ascites, bilateral pleural effusion, and advanced gastric cancer. Pleural fluid cytology did not reveal malignant cells. Oophorectomy, performed as a palliative procedure, was followed by rapid resolution of the pleural effusion and ascites. The patient was diagnosed with pseudo-Meigs' syndrome, and underwent chemotherapy followed by partial gastrectomy. At the last follow-up, 84 mo following oophorectomy, she was alive, and free of disease recurrence, despite not receiving any further treatment. Pseudo-Meigs' syndrome should be considered in patients with bilateral ovarian tumors, ascites and pleural effusion, and treatment such as oophorectomy may result in symptomatic improvement and better prognosis in similar patients.
authors.affiliation: Masaru Okamoto, Department of General Internal Medicine, Tottori Prefectural Central Hospital, Tottori 680-0901, Japan.
authors.forename: Masaru
authors.initials: M
authors.lastname: Okamoto
authors.affiliation: Masaru Okamoto, Department of General Internal Medicine, Tottori Prefectural Central Hospital, Tottori 680-0901, Japan.
authors.forename: Kazunori
authors.initials: K
authors.lastname: Maeda
authors.affiliation: Masaru Okamoto, Department of General Internal Medicine, Tottori Prefectural Central Hospital, Tottori 680-0901, Japan.
authors.forename: Atsushi
authors.initials: A
authors.lastname: Yanagitani
authors.affiliation: Masaru Okamoto, Department of General Internal Medicine, Tottori Prefectural Central Hospital, Tottori 680-0901, Japan.
authors.forename: Kiwamu
authors.initials: K
authors.lastname: Tanaka
keywords: Ascites; Gastric cancer; Ovarian tumor; Pleural effusion; Pseudo-Meigs’ syndrome