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Acta Obstétrica e Ginecológica Portuguesa

Print version ISSN 1646-5830

Abstract

PEREIRA, Joana Araújo et al. Struma ovarii: clinic presentation with Pseudo-Meigs Syndrom. Acta Obstet Ginecol Port [online]. 2023, vol.17, n.1, pp.85-88.  Epub Mar 31, 2023. ISSN 1646-5830.

Struma ovarii is a form of mature teratoma consisting predominantly of thyroid tissue. In 5% of the cases, it may occur with ascites (20%) and pleural effusion, constituting the Pseudo-Meigs Syndrome. We describe the case of a 62-year-old woman monitored at a Pulmonology consultation for dyspnea on moderate exertion and parapneumonic pleural effusion with a one-year evolution of non-malignant etiology. Ascites and solid adnexal lesion with increased cancer antigen-125 (1475.8 U/ml) were diagnosed . Histological examination revealed a lesion with characteristics of struma ovarii, with no signs of malignancy. Being a benign disease case, the prognosis is excellent.

Keywords : Struma ovarii; Pseudo-Meigs Syndrome; Elevated cancer antigen-125.

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