梅格斯综合征:修订间差异
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梅格斯综合征 | |
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类型 | 卵巢腫瘤[*]、neoplastic syndrome[*] |
分类和外部资源 | |
醫學專科 | Category:婦科癌症 |
ICD-11 | 2F32.2 |
ICD-10 | D27 |
DiseasesDB | 7943 |
eMedicine | med/1422 |
MeSH | D008539 |
Orphanet | 314451 |
梅格斯综合征(英語:Meigs syndrome, Meigs' syndrome),是一类三重综合征,包括腹水、胸腔积液和原发性卵巢肿瘤(比如纤维瘤) In medicine, Meigs syndrome, also Meigs' syndrome, is the triad of ascites, pleural effusion and benign ovarian tumor (fibroma, Brenner tumour and occasionally granulosa cell tumour).[1][2][3] It resolves after the resection of the tumor. Because the transdiaphragmatic lymphatic channels are larger in diameter on the right, the pleural effusion is classically on the right side. The etiologies of the ascites and pleural effusion are poorly understood.[1]
Differential diagnosis
It may mimic other conditions.[4]
Because of the presence of ascites and transudative pleural effusions, the differential diagnosis includes liver failure (cirrhosis), congestive heart failure, renal diseases, and metastatic tumors to the peritoneal surfaces. These entities must be clinically excluded.[來源請求]
Treatment
Treatment of Meigs' syndrome consists of thoracentesis and paracentesis to drain off the excess fluid (transudate), and unilateral salpingo-oophorectomy or wedge resection to correct the underlying etiology.
Eponym
Meigs' Syndrome is named for Joe Vincent Meigs.[5][6][7]
参考
- ^ 1.0 1.1 Meigs syndrome 於 eMedicine
- ^ Morán-Mendoza A, Alvarado-Luna G, Calderillo-Ruiz G, Serrano-Olvera A, López-Graniel CM, Gallardo-Rincón D. Elevated CA125 level associated with Meigs' syndrome: case report and review of the literature. Int. J. Gynecol. Cancer. 2006, 16 (Suppl 1): 315–318. PMID 16515612. doi:10.1111/j.1525-1438.2006.00228.x.
- ^ Padubidri, Daftary. Shaw's Textbook Of Gynaecology, 15e. Elsevier India. : 385. ISBN 9788131225486.
- ^ Lanitis S, Sivakumar S, Behranwala K, Zacharakis E, Al Mufti R, Hadjiminas DJ. A case of Meigs syndrome mimicking metastatic breast carcinoma. World J Surg Oncol. 2009, 7: 10. PMC 2633000 . PMID 19161612. doi:10.1186/1477-7819-7-10.
- ^ Meigs' syndrome - Who Named It?
- ^ Lurie S. Meigs' syndrome: the history of the eponym. Eur. J. Obstet. Gynecol. Reprod. Biol. 2000, 92 (2): 199–204. PMID 10996681. doi:10.1016/S0301-2115(99)00289-4.
- ^ Meigs JV. Fibroma of the ovary with ascites and hydrothorax; Meigs' syndrome. Am. J. Obstet. Gynecol. 1954, 67 (5): 962–85. PMID 13148256. 已忽略未知参数
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