Pseudo-Meigs' syndrome caused by a uterine leiomyosarcoma: a new clinical condition

Gynecol Obstet Invest. 2011;72(1):68-72. doi: 10.1159/000327931. Epub 2011 May 31.

Abstract

Introduction: Pseudo-Meigs' syndrome is a rare condition characterized by female genital cancer, ascites, hydrothorax and tumors other than benign ovarian tumors.

Case report: A 30-year-old woman arrived at our clinic with pelvic pain and dyspnea. She underwent an exploratory laparotomy for a large pelvic mass complicated by ascites and hydrothorax. Cytological examination of the effusions was negative for malignant cells. Histological analysis of the tumor mass revealed a uterine epithelioid leiomyosarcoma. After surgery, we observed resolution of the effusions.

Conclusion: Uterine leiomyosarcoma and pseudo-Meigs' syndrome are two rare entities. To our knowledge, there are no similar reports in the literature, and therefore we present this new clinical condition due to its high scientific evidence.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Ascites
  • Female
  • Humans
  • Hydrothorax
  • Leiomyosarcoma / complications
  • Leiomyosarcoma / diagnosis*
  • Leiomyosarcoma / surgery
  • Meigs Syndrome / diagnosis*
  • Meigs Syndrome / etiology
  • Meigs Syndrome / surgery
  • Pelvic Pain
  • Uterine Neoplasms / complications
  • Uterine Neoplasms / diagnosis*
  • Uterine Neoplasms / surgery