CAJ | 학술논문

对本院收治的2例假性梅格斯综合征患者临床资料进行回顾性分析,均因咳嗽,呼吸困难等呼吸道症状就诊,影像学发现胸腹腔积液及盆腔占位,经手术切除肿块,病理诊断为盆腔恶性肿瘤,术后患者胸腹腔积液消失,随访未复发.结合PubMed文献报道,49例假性梅格斯综合征确诊病例,发病年龄11 ～73岁,临床表现依次为呼吸困难(78％)、腹胀(69％)、咳嗽(14％)、腹痛(12％)、乏力(10％)、体质量下降(6％)、胸痛(4％)、发热(4％)、腹部包块(4％)、少尿(2％);肿瘤标志物以CA125水平升高常见;以原发性盆腔肿瘤为主(78％),转移性肿瘤中结肠癌卵巢转移最为多见.
대본원수치적2례가성매격사종합정환자림상자료진행회고성분석,균인해수,호흡곤난등호흡도증상취진,영상학발현흉복강적액급분강점위,경수술절제종괴,병리진단위분강악성종류,술후환자흉복강적액소실,수방미복발.결합PubMed문헌보도,49례가성매격사종합정학진병례,발병년령11 ～73세,림상표현의차위호흡곤난(78％)、복창(69％)、해수(14％)、복통(12％)、핍력(10％)、체질량하강(6％)、흉통(4％)、발열(4％)、복부포괴(4％)、소뇨(2％);종류표지물이CA125수평승고상견;이원발성분강종류위주(78％),전이성종류중결장암란소전이최위다견.
Retrospective analyses were conducted for the clinical data of two cases with pseudoMeigs' syndrome at our hospital.Both had respiratory symptoms,such as cough and dyspnea.Radiological examinations revealed ascites,pleural effusion and pelvic mass.The definite pathological diagnosis was pelvic malignant tumor.After surgical tumor removal,ascites and pleural effusion disappeared without recurrence.Along with reviewed cases from PubMed in the last decade,a total of 49 cases had pseudoMeigs' syndrome.The age range was 11-73 years.Their clinical manifestations include dyspnea (78％),abdominal distension (69％),cough (14％),abdominal pain (12％),fatigue (10％),weight loss (6％) chest pain (4％),fever (4％),abdominal mass (4％),and oliguria (2％).CA125 was commonly elevated.The primary tumors in pelvic cavity accounted for 78％.And ovarian metastasis from colon cancer was one of the most common in metastatic tumor.