Name
MEIG SYNDROME
DESCRIPTION
DETAIL
CONSISTS OF BENIGN OVARIAN TUMOR, ASCITES & PLEURAL EFFUSION D.D. : - ASCITES - CIRRHOSIS - COLON CANCER, ADENOCARCINOMA - HYPOALBUMINEMIA - LUNG CANCER, NON-SMALL CELL - LUNG CANCER, OAT CELL ( SMALL CELL ) - NEPHROTIC SYNDROME - OVARIAN CANCER - PLEURAL EFFUSION - TUBERCULOSIS* X-RAY CHEST TO CONFIRM PLEURAL EFFUSION * ULTRA SOUND - FOR TUMOR * CBC - TO SEE ANEMIA OR INFECTION * PARACENTESIS OF ASCITC OR PLEURAL FLUID FOR CYTOLOGICAL EXAM. & BIOCHEMICAL TEST
TYPENOTES
Meigs proposed limiting true Meigs syndrome to benign and solid ovarian tumors accompanied by ascites and pleural effusion, with the condition that removal of the tumor cures the patient without recurrence. Histologically, the benign ovarian tumor may be a fibroma, thecoma, cystadenoma, or granulosa cell tumor. MEDICAL TREATMENT : Medical Care: Provide symptomatic relief of ascites and pleural effusion by means of therapeutic paracentesis and thoracentesis. Surgical Care: Exploratory laparotomy with surgical staging is the treatment of choice. Perform a frozen section of the ovarian mass during exploratory laparotomy. If the frozen section is consistent with benign tumor, conservative surgery (salpingo-oophorectomy or oophorectomy) is appropriate. Findings of lymph node biopsies and omentum and pelvic washings are negative for malignancy if these procedures are performed during surgery. In women of reproductive age, perform unilateral salpingo-oophorectomy. In postmenopausal women, options include bilateral salpingo-oophorectomy with total hysterectomy and unilateral or occasionally bilateral salpingo-oophorectomy. In prepubertal girls, options include wedge resection of ovary and unilateral salpingo-oophorectomy. The cure rate after either type of surgery is high and recurrence is rare. Pseudo-Meigs syndrome consists of pleural effusion, ascites, and benign tumors of the ovary other than fibromas. These benign tumors include those of the fallopian tube or uterus and mature teratomas, struma ovarii, and ovarian leiomyomas. This terminology sometimes also includes ovarian or metastatic gastrointestinal malignancies. Atypical Meigs characterized by a benign pelvic mass with right-sided pleural effusion but without ascites has been reported at least twice. As in Meigs syndrome, pleural effusion resolves after removal of the pelvic mass. Pseudo-pseudo Meigs syndrome includes patients with systemic lupus erythematosus and enlarged ovaries.
RELATED DISEASE
Not Available Disease
DISEASE
INVESTIGATION
X-RAY CHEST P.A. VIEW( NORMAL ), ULTRA SOUND WHOLE ABDOMEN - FEMALE, COMPLETE BLOOD COUNT, CT SCAN ABDOMEN, CA-125