PDF(Pubmed)
Abstract：
Pelvic tumours are a rare cause of pleural effusion. We describe an approach to a case of Meigs syndrome with recurrent unilateral pleural effusion. A woman in her 60s\' presented with recurrent right-sided pleural effusion, leading to cough and shortness of breath. Thoracentesis yielded exudative pleural fluid with cytology negative for malignancy. Pleuroscopy revealed inflamed pleura, and pleural biopsy was consistent with inflammatory changes. The patient\'s cancer antigen 125 level was elevated at 256 U/mL. Given the high suspicion of malignancy, a computed tomography scan of the chest, abdomen, and pelvis was performed and revealed ascites and a large left ovarian and uterine mass. The patient underwent a total abdominal hysterectomy and bilateral salphingo oophorectomy after experiencing three additional episodes of pleural effusion. Histological examination revealed the left ovarian mass to be a cellular fibroma and the uterine masses to be leiomyomata. Following the operation, there was no recurrence of pleural effusion.
摘要：
盆腔肿瘤是胸腔积液的罕见原因。我们描述了一例伴有复发性单侧胸腔积液的Meigs综合征的方法。一名60多岁的女性出现复发性右侧胸腔积液，导致咳嗽和呼吸急促。胸腔穿刺术产生渗出性胸膜液，细胞学检查为恶性肿瘤阴性。胸腔镜显示胸膜发炎,胸膜活检符合炎性改变。患者的癌抗原125水平升高至256U/mL。鉴于恶性肿瘤的高度怀疑，胸部的计算机断层扫描扫描，腹部，并进行了骨盆检查，发现腹水和大的左卵巢和子宫肿块。在经历了另外三起胸腔积液后，患者接受了全腹子宫切除术和双侧输卵管卵巢切除术。组织学检查显示左卵巢肿块为细胞纤维瘤，子宫肿块为平滑肌瘤。手术后,胸腔积液无复发。
