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KMID : 0338420050200010105
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The Korean Journal of Internal Medicine
2005 Volume.20 No. 1 p.105 ~ p.109
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Ovarian Granulosa Cell Tumor presenting as Meigs´ Syndrome with elevated CA125
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Choi K
Lee HJ/Pae JC/Oh SJ/Lim SY/Cho EY/Lee SS
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Abstract
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Herein, a rare case of ovarian granulosa cell tumor, presenting as Meigs´ syndrome, with elevated carbohydrate antigen 125 (CA125), is reported. A 69-year-old woman was admitted for the investigation of abdominal fullness and dyspnea. A preoperative examination revealed a huge pelvic tumor and an abdominopelvic magnetic resonance image (MRI) assumed ovarian cancer. A chest computed tomography (CT) scan revealed pleural effusion. A laparotomy confirmed the huge mass to be an ovarian tumor. A total abdominal hysterectomy (TAH), with a bilateral salpingo-oophorectomy (BSO) and partial omentectomy, was performed. Although short-term intrathoracic drainage was required, the hydrothorax and ascites rapidly resolved in the postoperative period.
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