假梅格斯综合征1例及文献复习

A case of pseudo-Meigs syndrome and literature review

目的复习梅格斯综合征和假梅格斯综合征相关内容。方法针对2019年8月入住该院急诊科、诊断不稳定性心绞痛、拟行冠状动脉造影的1例女性患者,通过完善检查,排除了心血管疾病,同时明确了肿瘤诊断。结果梅格斯综合征定义为盆腔肿瘤(大多数为卵巢纤维瘤)合并腹腔积液、胸腔积液,且盆腔肿瘤大多数为良性,切除后胸腹腔积液可消失;假性梅格斯综合征为盆腔恶性占位,伴胸腔积液或腹腔积液、肿瘤标志物升高、恶液质,切除肿块后胸腹腔积液不完全消失。结论对于常见疾病的诊断需时刻保持怀疑态度,完善检查避免误、漏诊。

Objective To review the related contents of Meigs syndrome and pseudo-Meigs syndrome.Methods A female patient was admitted to the emergency department of this hospital in 2019,diagnosed as unstable angina pectoris and planned to conduct coronary angiography,and definitely diagnosed as tumor by excluding cardiovascular disease and perfecting the examination.Results The related knowledge is reviewed,Meigs syndrome is defined as:pelvic cavity tumor(most are ovarian fibromas)complicating ascites and hydrothorax,moreover the majority of pelvic cavity tumor are benign,after resection,ascites and hydrothorax could disappear;pseudo-Meigs syndrome is the pelvic cavity malignant occupy,is accompanied by hydrothorax or ascites,the tumor markers are increased,there is cachexia,and ascites does not completely disappeared after mass resection.Conclusion For the diagnosis of common diseases,it is necessary to maintain a skeptical attitude and perfect the examinations to avoid misdiagnosis and missed diagnosis.