Pseudo-pseudo Meigs syndrome in systemic lupus erythematosus misdiagnosed as pseudo-Meigs' syndrome: A case report
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作者:
He, Jiaqi
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China Med Univ, Shengjing Hosp, Dept Obstet & Gynecol, Shenyang, Liaoning, Peoples R ChinaChina Med Univ, Shengjing Hosp, Dept Obstet & Gynecol, Shenyang, Liaoning, Peoples R China
He, Jiaqi
[1
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Li, Jinke
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China Med Univ, Shengjing Hosp, Dept Obstet & Gynecol, Shenyang, Liaoning, Peoples R ChinaChina Med Univ, Shengjing Hosp, Dept Obstet & Gynecol, Shenyang, Liaoning, Peoples R China
Li, Jinke
[1
]
Fan, Bao
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China Med Univ, Shengjing Hosp, Dept Obstet & Gynecol, Shenyang, Liaoning, Peoples R ChinaChina Med Univ, Shengjing Hosp, Dept Obstet & Gynecol, Shenyang, Liaoning, Peoples R China
Fan, Bao
[1
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Yan, Liya
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China Med Univ, Shengjing Hosp, Dept Obstet & Gynecol, Shenyang, Liaoning, Peoples R ChinaChina Med Univ, Shengjing Hosp, Dept Obstet & Gynecol, Shenyang, Liaoning, Peoples R China
Yan, Liya
[1
]
Ouyang, Ling
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China Med Univ, Shengjing Hosp, Dept Obstet & Gynecol, Shenyang, Liaoning, Peoples R China
China Med Univ, Shengjing Hosp, Dept Obstet & Gynecol, 36 Sanhao St, Shenyang 110000, Liaoning, Peoples R ChinaChina Med Univ, Shengjing Hosp, Dept Obstet & Gynecol, Shenyang, Liaoning, Peoples R China
Ouyang, Ling
[1
,2
]
机构:
[1] China Med Univ, Shengjing Hosp, Dept Obstet & Gynecol, Shenyang, Liaoning, Peoples R China
[2] China Med Univ, Shengjing Hosp, Dept Obstet & Gynecol, 36 Sanhao St, Shenyang 110000, Liaoning, Peoples R China
Symptoms of pelvic masses, elevated serum CA125 levels, massive ascites, and pleural effusion in female patients are usually associated with malignancy. Some benign ovarian tumors or other nonmalignant tumors may also produce similar symptoms, called Meigs syndrome or pseudo-Meigs' syndrome, which should be one of the differential diagnoses. However, there is an extremely rare form of SLE called pseudo-pseudo Meigs syndrome (PPMS), which may also present with the above symptoms, but is not associated with any of the tumors. In this paper, we report a case of a 47-year-old woman who presented with abdominal distention. The patient was found to have elevated serum CA125 levels to 182.9 U/mL before the operation. Her PET-CT suggested a large heterogeneous mass in the pelvis measuring 8.2 x 5.8 cm with a large amount of ascites. She was initially diagnosed with ovarian cancer and underwent exploratory laparotomy. Pathology of the surgical specimen revealed a uterine leiomyoma. Two months after discharge, the patient's ascites reappeared along with recurrent intestinal obstruction. After ascites and serological tests, she was eventually diagnosed with systemic lupus erythematosus and received systemic hormonal therapy.
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Capital Med Univ, Dept Hematol & Oncol, Beijing Hosp Tradit Chinese Med, Clin Med Coll Tradit Chinese Med, 23 Back St Museum Art Rd, Beijing 100010, Peoples R ChinaCapital Med Univ, Dept Hematol & Oncol, Beijing Hosp Tradit Chinese Med, Clin Med Coll Tradit Chinese Med, 23 Back St Museum Art Rd, Beijing 100010, Peoples R China
Gao, Fei
Xu, YongMei
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Capital Med Univ, Dept Hematol & Oncol, Beijing Hosp Tradit Chinese Med, Clin Med Coll Tradit Chinese Med, 23 Back St Museum Art Rd, Beijing 100010, Peoples R ChinaCapital Med Univ, Dept Hematol & Oncol, Beijing Hosp Tradit Chinese Med, Clin Med Coll Tradit Chinese Med, 23 Back St Museum Art Rd, Beijing 100010, Peoples R China
Xu, YongMei
Yang, GuoWang
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Capital Med Univ, Dept Hematol & Oncol, Beijing Hosp Tradit Chinese Med, Clin Med Coll Tradit Chinese Med, 23 Back St Museum Art Rd, Beijing 100010, Peoples R ChinaCapital Med Univ, Dept Hematol & Oncol, Beijing Hosp Tradit Chinese Med, Clin Med Coll Tradit Chinese Med, 23 Back St Museum Art Rd, Beijing 100010, Peoples R China
机构:
IMSS, Ctr Med Nacl La Raza, Hosp Gen, Reumatol Pediat, Ciudad De Mexico, MexicoIMSS, Ctr Med Nacl La Raza, Hosp Gen, Reumatol Pediat, Ciudad De Mexico, Mexico
Torres Jimenez, Alfonso Ragnar
Solis-Vallejo, Eunice
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IMSS, Ctr Med Nacl La Raza, Hosp Gen, Reumatol Pediat, Ciudad De Mexico, MexicoIMSS, Ctr Med Nacl La Raza, Hosp Gen, Reumatol Pediat, Ciudad De Mexico, Mexico
Solis-Vallejo, Eunice
Ivonne Cespedes-Cruz, Adriana
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IMSS, Ctr Med Nacl La Raza, Hosp Gen, Reumatol Pediat, Ciudad De Mexico, MexicoIMSS, Ctr Med Nacl La Raza, Hosp Gen, Reumatol Pediat, Ciudad De Mexico, Mexico
Ivonne Cespedes-Cruz, Adriana
Zeferino Cruz, Maritza
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IMSS, Ctr Med Nacl La Raza, Hosp Gen, Reumatol Pediat, Ciudad De Mexico, MexicoIMSS, Ctr Med Nacl La Raza, Hosp Gen, Reumatol Pediat, Ciudad De Mexico, Mexico
Zeferino Cruz, Maritza
Zoraida Rojas-Curiel, Edna
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IMSS, Ctr Med Nacl La Raza, Hosp Gen, Cirugia Oncol Pediat, Ciudad De Mexico, MexicoIMSS, Ctr Med Nacl La Raza, Hosp Gen, Reumatol Pediat, Ciudad De Mexico, Mexico
Zoraida Rojas-Curiel, Edna
Sanchez-jara, Berenice
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IMSS, Ctr Med Nacl La Raza, Hosp Gen, Hematol Pediat, Ciudad De Mexico, MexicoIMSS, Ctr Med Nacl La Raza, Hosp Gen, Reumatol Pediat, Ciudad De Mexico, Mexico