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Sindrome di Meigs e “pseudo-sindrome di Meigs”(descrizione di due casi)
Background. The aim of this study is to inve¬stigate simili tudis and differences between thè Meigs' syndronie and Meigs' pseudosyndrome. The Meigs' syndrome is an uncommon disease that is characterized by benign ovarian tumor, ascites and pleural effusion. The Meigs' pseu¬dosyndrome is a seruous disease that is cha¬racterized by malignati! ovarian tumor, asci¬tes, pleural effusion.
Methods. We have examined two cases: a case of Meigs' syndrome that is characterized by vo-mit, abdominal pain, ascites, hight scruni Ca 125 level; a case of Meigs' pseudosyndrome that is characterized by ovarian adenocarci-noma that is diagnosticated owing to ascites and pleural effusion.
Conclusions. This study suggest that thè surgi-cal therapy have a very important role for thè complete remission of thè disease in thè Meigs' syndrome and for thè remission of ascites and pleural effusion in thè Meigs' pseudosyndrome.
Key words: Meigs - Ovarian cancer
Illustration, General Montgomery Cunningham Meigs
This is a black and white illustration of General Montgomery Cunningham (M. C.) Meigs, a career United States Army officer and civil engineer, who served as Quartermaster General of the U.S. Army during and after the American Civil War. Meigs is depicted as wearing a double breasted military uniform with shoulder boards on either shoulder. The illustration is within a square frame. Meigs\u27 name is captioned beneath the illustration. This illustration is from volume four of Abraham Lincoln : A History by John G. Nicolay and John Hay.https://scholarsjunction.msstate.edu/fvw-manuscripts-nicolay-and-hay-images/1174/thumbnail.jp
Letter re: editorials
Letter from Merrill C. Meigs of The Hearst Corporation to Amon Carter praising Carter on his editorial on William Randolph Hearst. Meigs also wrote about a dinner with member of British Cabinet
A Case Report on Pseudo-Meigs Syndrome
Meigs syndrome is characterised as the presence of hydrothorax and ascites in the presence of solid benign ovarian tumours that resolve after the tumour is removed. Pseudo-Meigs syndrome is defined as hydrothorax and ascites associated with pelvic tumours other than those identified in Meigs syndrome. Meigs' syndrome is diagnosed based on a triad of an ovarian fibroma, pleural effusion and ascites.
For one year, a 45-year-old woman had abdominal distention and pain, as well as breathlessness for one month. Hydrothorax, ascites, and a massive pelvic tumour palpable abdominally, as well as another mass palpable per vaginally, were discovered during the clinical evaluation and investigations. For symptomatic relief, thoracocentesis and abdominal paracentesis were performed. An exploratory laparotomy was performed. Total hysterectomy was performed, as well as bilateral salpingo-oopherectomy.
The mass was diagnosed as an ovarian, serous, borderline tumour after a histopathological review.
Pseudo-Meigs syndrome was verified by the immediate postoperative resolution of hydrothorax and ascites
Letter re: flight party
Letter from Merrill C. Meigs, vice president of The Hearst Corporation, regarding a flight party
Letter re: invitation
Letter from Merrill C. "Babe" Meigs, vice president of The Hearst Corporation, to Amon Carter regarding an invitation to an unveiling of a statue of Will Rogers
Letter re: Amon Carter, Jr.
Letter from Babe Meigs, vice president of The Hearst Corporation, to Amon Carter regarding Amon, Jr.'s liberation as a prisoner of war
Sindrome di Meigs: Inquadramento clinico e trattamento
Meigs' syndrome is a rare clinical entity characterised with ovarian benign tumour, ascites and hydrothorax. Between January '94-September '98 we observed three patients with: ovarian neoformation, light (1 patient), moderate (2 patients) monolateral pleural effusion, moderate (2 patients) and considerable (1 patient) ascites. In all patients the preoperative evaluation (sero-haematologic routine, Ca 125 and other oncologic markers, chest X-ray, abdominal and pelvic ultrasonography, total-body Tc, cytological analysis of pleural and abdominal effusion) was suggestive for malignancy but not confirmed it. So an explorative laparotomy with histological extemporary analysis was performed. The results were: 1 fibrothecomas, 1 fibroma, 1 ovarian inflammation with cystic luteinization areas and fibromatosis uterine. All three patients had a good postoperative course. The symptomatology and the effusions disappeared 7-10 days after operation. The first two cases were diagnosed as classic Meigs' syndrome, the third one, instead, as a pseudo-Meigs's syndrome. In conclusion the A.A., according to literature and their experiences, underline: 1) an ovarian mass with pleural and abdominal effusion not always represents an advanced malignancy; 2) even if elevated Ca 125 value is usually associated to a ovarian malignancy, there are some benign lesions in which we observed elevated level of this marker 3) the removal of the ovarian mass is the only resolutive treatment for these patients
Sindrome di Meigs: Inquadramento clinico e trattamento
Meigs' syndrome is a rare clinical entity characterised with ovarian benign tumour, ascites and hydrothorax. Between January '94-September '98 we observed three patients with: ovarian neoformation, light (1 patient), moderate (2 patients) monolateral pleural effusion, moderate (2 patients) and considerable (1 patient) ascites. In all patients the preoperative evaluation (sero-haematologic routine, Ca 125 and other oncologic markers, chest X-ray, abdominal and pelvic ultrasonography, total-body Tc, cytological analysis of pleural and abdominal effusion) was suggestive for malignancy but not confirmed it. So an explorative laparotomy with histological extemporary analysis was performed. The results were: 1 fibrothecomas, 1 fibroma, 1 ovarian inflammation with cystic luteinization areas and fibromatosis uterine. All three patients had a good postoperative course. The symptomatology and the effusions disappeared 7-10 days after operation. The first two cases were diagnosed as classic Meigs' syndrome, the third one, instead, as a pseudo-Meigs's syndrome. In conclusion the A.A., according to literature and their experiences, underline: 1) an ovarian mass with pleural and abdominal effusion not always represents an advanced malignancy; 2) even if elevated Ca 125 value is usually associated to a ovarian malignancy, there are some benign lesions in which we observed elevated level of this marker 3) the removal of the ovarian mass is the only resolutive treatment for these patients
Letter re: Amon Carter, Jr.
Letter from Babe Meigs, vice president of The Hearst Corporation, to Amon Carter expressing joy at the news that his son, Amon, Jr., had been reported safe as a prisoner of war in Germany
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