Meigs syndrome (patient information): Difference between revisions
No edit summary |
No edit summary |
||
| Line 7: | Line 7: | ||
==Overview== | ==Overview== | ||
Meigs' syndrome is characterized as clinical triad: benign ovarian tumor, ascites, and pleural effusion. It is rare before 40 years of age and becomes more frequent as the years progress. The ovarian tumor is usually a fibroma but may be a thecoma, cystadenoma, or granulosa cell | Meigs' syndrome is characterized as clinical triad: benign ovarian tumor, [[ascites]], and [[pleural effusion]]. It is rare before 40 years of age and becomes more frequent as the years progress. The ovarian tumor is usually a fibroma but may be a [[thecoma]], [[cystadenoma]], or [[granulosa cell tumor]]. If the tumour is resected, the fluid resolves.<ref> Meigs syndrome. Patient Information.http://patient.info/doctor/meigs-syndrome Accessed on November, 2015 </ref> | ||
==What are the symptoms of Meigs syndrome?== | ==What are the symptoms of Meigs syndrome?== | ||
| Line 13: | Line 13: | ||
Most features are related to ascites and pleural effusion. Other symptoms include: <ref> Meigs syndrome. Patient Information.http://patient.info/doctor/meigs-syndrome Accessed on November, 2015 </ref> | Most features are related to ascites and pleural effusion. Other symptoms include: <ref> Meigs syndrome. Patient Information.http://patient.info/doctor/meigs-syndrome Accessed on November, 2015 </ref> | ||
*Shortness of breath | *[[Shortness of breath]] | ||
*Fatigue | *[[Fatigue]] | ||
*Increased abdominal size | *Increased abdominal size | ||
*Weight loss | *[[Weight loss]] | ||
*Amenorrhea for premenopausal women | *[[Amenorrhea]] for premenopausal women | ||
*Bloating | *[[Bloating]] | ||
*Dullness of percussion of lungs | *Dullness of percussion of lungs | ||
*Tachycardia | *[[Tachycardia]] | ||
*Present of ascites | *Present of ascites | ||
*Present of pelvic mass | *Present of pelvic mass | ||
| Line 27: | Line 27: | ||
==What causes Meigs syndrome?== | ==What causes Meigs syndrome?== | ||
Meigs' syndrome is usually generated by the presence of benign ovarian tumors, such as fibroma, thecoma, granulosa cell tumor or cystadenoma. The fibrous growth in a | Meigs' syndrome is usually generated by the presence of benign ovarian tumors, such as fibroma, thecoma, granulosa cell tumor or cystadenoma. The fibrous growth in a woman's ovary which causes abnormal levels of sex hormone production. | ||
==Who is at highest risk?== | ==Who is at highest risk?== | ||
| Line 35: | Line 35: | ||
==Diagnosis== | ==Diagnosis== | ||
*Cancer antigen CA-125 (Usually, elevated in pleural and peritoneal fluid) | *Cancer antigen [[CA-125]] (Usually, elevated in pleural and peritoneal fluid) | ||
*Blood tests FBC, U&E, LFTs, including plasma proteins. | *Blood tests FBC, U&E, LFTs, including plasma proteins. | ||
*Chest X-ray (CXR)(AP and lateral) will show the degree of pulmonary effusion. | *[[Chest X-ray]] (CXR)(AP and lateral) will show the degree of pulmonary effusion. | ||
*Abdominal ultrasound (outline of ovarian tumour if present and ascites) | *Abdominal ultrasound (outline of ovarian tumour if present and ascites) | ||
*Imaging also includes CT of the chest abdomen and pelvis, and MRI of the pelvis. | *Imaging also includes CT of the chest abdomen and pelvis, and MRI of the pelvis. | ||
*Paracentesis and aspiration of pleural fluid | *[[Paracentesis]] and aspiration of pleural fluid | ||
==When to seek urgent medical care?== | ==When to seek urgent medical care?== | ||
| Line 47: | Line 47: | ||
=Treatment options= | =Treatment options= | ||
Exploratory laparotomy with surgical staging is the treatment of choice.<ref> Meigs syndrome: Overview. Medscape http://emedicine.medscape.com/article/255450-overview Accessed on November,12 2015 </ref> | Exploratory [[laparotomy]] with surgical staging is the treatment of choice.<ref> Meigs syndrome: Overview. Medscape http://emedicine.medscape.com/article/255450-overview Accessed on November,12 2015 </ref> | ||
==Where to find medical care for Meigs syndrome?== | ==Where to find medical care for Meigs syndrome?== | ||
| Line 56: | Line 56: | ||
==Prevention of Meigs syndrome== | ==Prevention of Meigs syndrome== | ||
There is no primary prevention for this syndrome. It is highly suggested that women perform a regular check-up with their gynecologist every year to avoid any complications. | There is no primary prevention for this [[syndrome]]. It is highly suggested that women perform a regular check-up with their gynecologist every year to avoid any complications. | ||
==What to expect (Outlook/Prognosis)?== | ==What to expect (Outlook/Prognosis)?== | ||
Overall, the patient should expect a full recovery as the condition is usually benign. The rate of cure after surgery is high and recurrence is very rare.<ref>Meigs syndrome. Syndrome URL http://syndrome.org/meigs-syndrome/ Accessed on November,12 2015 </ref> Nevertheless, this condition is contingent of histopathological findings of the benign tumor and dictates the long-term prognosis for patients.<ref>http://www.obgyn.net/laparoscopy-and-hysteroscopy/meigs-syndrome-case-presentation-and-revision-literature#sthash.6WwJpMGh.dpuf</ref> | Overall, the patient should expect a full recovery as the condition is usually benign. The rate of cure after [[surgery]] is high and recurrence is very rare.<ref>Meigs syndrome. Syndrome URL http://syndrome.org/meigs-syndrome/ Accessed on November,12 2015 </ref> Nevertheless, this condition is contingent of histopathological findings of the benign tumor and dictates the long-term prognosis for patients.<ref>http://www.obgyn.net/laparoscopy-and-hysteroscopy/meigs-syndrome-case-presentation-and-revision-literature#sthash.6WwJpMGh.dpuf</ref> | ||
==Possible complications== | ==Possible complications== | ||
Complications are related to the surgical procedure (the resection of the ovarian mass). If the tumor is benign - conservative surgery is the standard of choice - salpingo-oophoredctomy or [[oophorectomy]]. | Complications are related to the surgical procedure (the resection of the ovarian mass). If the tumor is benign - conservative surgery is the standard of choice - salpingo-oophoredctomy or [[oophorectomy]]. | ||
==Source== | ==Source== | ||
Revision as of 18:49, 12 November 2015
For the WikiDoc page on this topic, click here
|
Meigs syndrome |
|
Meigs syndrome On the Web |
|---|
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Maria Fernanda Villarreal, M.D. [2]
Overview
Meigs' syndrome is characterized as clinical triad: benign ovarian tumor, ascites, and pleural effusion. It is rare before 40 years of age and becomes more frequent as the years progress. The ovarian tumor is usually a fibroma but may be a thecoma, cystadenoma, or granulosa cell tumor. If the tumour is resected, the fluid resolves.[1]
What are the symptoms of Meigs syndrome?
Most features are related to ascites and pleural effusion. Other symptoms include: [2]
- Shortness of breath
- Fatigue
- Increased abdominal size
- Weight loss
- Amenorrhea for premenopausal women
- Bloating
- Dullness of percussion of lungs
- Tachycardia
- Present of ascites
- Present of pelvic mass
- Abdominal examination may feel the mass
What causes Meigs syndrome?
Meigs' syndrome is usually generated by the presence of benign ovarian tumors, such as fibroma, thecoma, granulosa cell tumor or cystadenoma. The fibrous growth in a woman's ovary which causes abnormal levels of sex hormone production.
Who is at highest risk?
Women with the presence of known ovarian pathology.
Diagnosis
- Cancer antigen CA-125 (Usually, elevated in pleural and peritoneal fluid)
- Blood tests FBC, U&E, LFTs, including plasma proteins.
- Chest X-ray (CXR)(AP and lateral) will show the degree of pulmonary effusion.
- Abdominal ultrasound (outline of ovarian tumour if present and ascites)
- Imaging also includes CT of the chest abdomen and pelvis, and MRI of the pelvis.
- Paracentesis and aspiration of pleural fluid
When to seek urgent medical care?
Meigs syndrome is not a life-threatening situation, however in the presence of any of the previously mentioned symptoms, patients should seek for a gynecologic surgeon for surgical management.
Treatment options
Exploratory laparotomy with surgical staging is the treatment of choice.[3]
Where to find medical care for Meigs syndrome?
For patient education resources, see Women's Health Center and Cancer center. Directions to Hospitals Treating Meigs syndrome
Prevention of Meigs syndrome
There is no primary prevention for this syndrome. It is highly suggested that women perform a regular check-up with their gynecologist every year to avoid any complications.
What to expect (Outlook/Prognosis)?
Overall, the patient should expect a full recovery as the condition is usually benign. The rate of cure after surgery is high and recurrence is very rare.[4] Nevertheless, this condition is contingent of histopathological findings of the benign tumor and dictates the long-term prognosis for patients.[5]
Possible complications
Complications are related to the surgical procedure (the resection of the ovarian mass). If the tumor is benign - conservative surgery is the standard of choice - salpingo-oophoredctomy or oophorectomy.
Source
- ↑ Meigs syndrome. Patient Information.http://patient.info/doctor/meigs-syndrome Accessed on November, 2015
- ↑ Meigs syndrome. Patient Information.http://patient.info/doctor/meigs-syndrome Accessed on November, 2015
- ↑ Meigs syndrome: Overview. Medscape http://emedicine.medscape.com/article/255450-overview Accessed on November,12 2015
- ↑ Meigs syndrome. Syndrome URL http://syndrome.org/meigs-syndrome/ Accessed on November,12 2015
- ↑ http://www.obgyn.net/laparoscopy-and-hysteroscopy/meigs-syndrome-case-presentation-and-revision-literature#sthash.6WwJpMGh.dpuf