A case of Pseudo-Meigs’ syndrome due to Brenner tumor

Radiology Case Reports

article

Tetsuya Abe¹  Tsukasa Saida¹  Kaoru Fujieda¹  Kei Inoue¹  Toyomi Satoh¹  Takahito Nakajima¹ 

[1] Department of Radiology, University of Tsukuba Hospital

关键词: Brenner;    CA 125;    Computed tomography;    Meigs’ syndrome;    Magnetic resonance imaging;   

DOI  :  10.1016/j.radcr.2023.01.003

学科分类：生物化学工程

来源: University of Washington * Department of Radiology

【 摘 要 】

A 65-year-old woman with suspected ascites-associated abdominal distention had elevated CA125 levels. Contrast-enhanced computed tomography to search for the cause of the ascites showed bilateral pleural effusions , ascites, and an ovarian tumor . On magnetic resonance imaging the tumor exhibited a lobulated structure and markedly low signal intensity on both T1- and T2-weighted imaging, with no restrictions on diffusion-weighted images. Progressive enhancement was observed at tumor margins. Meigs syndrome due to fibroma was suspected, and total hysterectomy , bilateral salpingo-oophorectomy, and partial omentectomy were performed. Postoperatively, the pleural effusion and ascites resolved promptly without specific treatment. On pathological examination, the ovarian tumor was diagnosed as a benign Brenner tumor with scattered nests of transitional epithelium within a large amount of stroma . Based on the clinical course, the patient was diagnosed with pseudo-Meigs’ syndrome due to a Brenner tumor.

【 授权许可】

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