假性梅格斯综合征二例并文献复习  

Clinical analysis of 49 cases with Pseudo-Meigs＇ Syndrome： a report of two cases and a review of literatures over the last decade

作　　者：边巍[1] 魏敏[1] 徐凌[1] 沈策[1] 

机构地区：[1]上海交通大学附属第六人民医院呼吸内科,200233

出　　处：《中华全科医师杂志》2015年第6期455-458,共4页Chinese Journal of General Practitioners

摘　　要：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CAl25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。Retrospective analyses were conducted for the clinical data of two cases with pseudo- Meigs＇ 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 pseudo- Meigs＇ 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 tumors.

关 键 词：假性梅格斯综合征 胸腔积液 

分 类 号：R730.5[医药卫生—肿瘤]