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Deimons-Meigs综合征指卵巢纤维瘤伴有胸腹水。本文报道1例特征性病例同时伴有CA125的升高。 患者86岁,G1P1,55岁绝经。近期出现呼吸困难,右胸腔反复大量积液(胸腔8次穿刺,引流为典型渗出液,未找到癌细胞),并出现腹水,双下肢浮肿。B超及CT示子宫后方一异质性直径为20cm多叶状肿块,CA125高达1700UI/ml。为明确诊断,在B超引导下行穿刺活检,示Meigs综合征。即行双侧附件切除术,切除肿块重达1600g,腹水共计2.5L。术后病理确诊为卵巢纤维卵泡膜瘤。在3、6个月后两次复诊,均正常,CA125<35UI/ml。
Deimons-Meigs syndrome refers to ovarian fibroma with pleural effusion. This article reports 1 case of characteristic cases accompanied by elevated CA125. The patient was 86 years old, with G1P1 and menopausal at age 55. Recent respiratory difficulties, repeated heavy pleural effusion (pleural puncture 8 times, draining typical exudate, not found in cancer cells), and ascites, both lower extremity edema. B-ultrasound and CT showed a heterogeneous posterior uterine diameter of 20cm multi-leaf tumor, CA125 up to 1700UI / ml. To confirm the diagnosis, biopsy guided by B ultrasound showed Meigs syndrome. Bilateral attachment resection, removal of lumps weighing 1600g, a total of 2.5L ascites. Postoperative pathological diagnosis of ovarian follicular melanocytoma. In 3,6 months after the two referral, are normal, CA125 <35UI / ml.