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  • Title: Pseudo-Meigs syndrome and elevated CA125 associated with struma ovarii.
    Author: Loizzi V, Cormio G, Resta L, Fattizzi N, Vicino M, Selvaggi L.
    Journal: Gynecol Oncol; 2005 Apr; 97(1):282-4. PubMed ID: 15790478.
    Abstract:
    BACKGROUND: Struma ovarii is a rare form of ovarian neoplasm composed entirely and predominantly of thyroid tissue. The association of pseudo-Meigs syndrome, elevation of CA125 and hyperthyroidism to struma ovarii is a rare condition. CASE: We report an unusual presentation of a postmenopausal woman with benign struma ovarii associated with pseudo-Meigs syndrome, hypertiroidism, and elevated CA125 serum level, and a large complex right pelvic mass thereby mimicking an ovarian cancer. CONCLUSIONS: Struma ovarii is a rare cause of ascites, hydrothorax, elevated CA125, and hyperthyroidism. This rare condition should be considered in the differential diagnosis in patients with ascites and pleural effusions but with negative cytology.
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