¨A síndrome de Meigs é a tríade caracterizada por tumor pélvico benigno, ascite e efusão pleural – ou hidrotórax – concomitantes, associada à cura da doença após a exérese da tumor. Em outras publicações, descreve-se a síndrome de Meigs como a presença de um tumor ovariano benigno em associação com ascite e hidrotórax. Níveis elevados de CA 125 sérico em mulheres pós-menopáusicas com massa anexial sólida, ascite e derrame pleural são muito sugestivos de tumor ovariano maligno. Logo, pacientes com síndrome de Meigs podem apresentar níveis elevados de CA 125.¨
■ Hydrothorax, ascites, and an abdominal mass: not always signsof a malignancy – Three cases of Meigs´s syndrome
Kim E Kortekaas, Harold MP Pelikan
J Radiol Case Rep. 2018 Jan; 12(1): 17–26
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5965394/
■ Large twisted ovarian fibroma associated with Meigs´s syndrome, abdominal pain and severe anemia treated by laparoscopic surgery
Antonio Macciò, Clelia Madeddu, Paraskevas Kotsonis et al
BMC Surg. 2014; 14: 38
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4074309/
■ A case of Meigs´s syndrome with preceding pericardial effusion in advance of pleural effusion
Kenichi Okuda, Satoshi Noguchi, Osamu Narumoto et al
BMC Pulm Med. 2016; 16: 71
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4862177/
■ Pleural effusion in Meigs´s syndrome – transudate or exudate?
R Krenke, M Maskey-Warzechowska, P Korczynski et al
Medicine (Baltimore) 2015, vol 94 (49): e2114
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5008483/
■ Postmenopausal Meig´s syndrome in elevated CA-125: a case report
Jung-Woo Park, Jong Woon Bae
J Menopausal Med. 2015 Apr; 21(1): 56–59
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4452815/
■ Meigs´s syndrome with elevated CA-125 and HE-4: a case of luteinized fibrothecoma
Jaroslaw Danilos, Wojciech Michał Kwaśniewski, Diana Mazurek et al
Prz Menopauzalny. 2015 Jun; 14(2): 152–154
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4498034/
■ Large twisted ovarian fibroma associated with Meig´s syndrome, abdominal pain and severe anemia treated by laparoscopic surgery
A Maccio, C Madeddu, P Kotsonis et al
BMC Surg 2014,vol 14: 38
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4074309/
■ Meigs syndrome presenting with axillary vein thrombosis and lymphadenopathy: a case report
Ridhima Iyer, Jason Chow, Mona El-Bahrawy, Philip Savage
J Med Case Rep. 2013; 7: 182
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3750274/
■ Tumor estromal esclerosante de ovário associado à síndrome de Meigs e gestação: relato de caso
Gomes Sobrinho, David Barreira et al.
Rev. Bras. Ginecol. Obstet., Jul 2013, vol.35, no.7, p.331-335
http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0100-72032013000700008&lng=pt&nrm=iso
■ Meigs´s syndrome
D J Quinlan,
JOJC 2012, vol 34 (4): 311
https://www.jogc.com/article/S1701-2163(16)35204-5/abstract
■ Severe edema and elevated CA 125 in a 56-year-old woman
N S Tan, S W Hwang
CMAJ 212, vol184 (6): 671-673
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3314038/
■ Meigs´s syndrome with elevated serum CA125: case report and review of the literature
Mongkol Benjapibal, Suthi Sangkarat, Somsak Laiwejpithaya et al
Case Rep Oncol. 2009 Jan-Apr; 2(1): 61–66
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2918831/
■ A case of Meigs syndrome mimicking metastatic breast carcinoma
Sophocles Lanitis, Sivahamy Sivakumar, Kasim Behranwala et al
World J Surg Oncol. 2009; 7: 10.
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2633000/
■ Meigs’ syndrome with elevated CA 125: case report.
Vieira, Sabas Carlos et al.
Sao Paulo Med. J., 2003, vol.121, no.5, p.210-212
■ by Dr Paulo Fernando Leite
Cardiologia – Centro Médico Unimed BH
Rua Gonçalves Dias 202
Belo Horizonte/MG/Brasil
31 30033306 / 40204020
CRMMG: 7026
Email: pfleite1873@gmail.com
Diretor da MWS – www.mwsedumed.com.br