Management of Meig's syndrome : experience at the Jordanian royal medical services

Abstract EN

Objectives: To describe our experience regarding the management of five different cases with histopathologicaly confirmed diagnosis of Meig’s syndrome besides differentiation this benign disease from malignant ovarian disease with similar presentation.

Methods: This study was performed at three different hospitals of the Jordanian Royal Medical Services.

The study was conducted out in the period between June 2011 and June 2015.

The files of five cases were reviewed and data were collected, arranged in tables and statistically analyzed.

The results were extracted and conclusion made.

Results: Five cases, which fitted the criteria for Meig's syndrome, were included in the study.

The age of patients ranged from 31 to 67 years with a median age of 46 years.

The most common presentation was abdominal pain.

All cases had a solid component in pelvic mass with size more than 10 cm.

All cases had an elevated level of tumor marker CA125.

Management options included true cut biopsy, frozen section and performing laparotomy for excision of the mass that ranged from removal of the involved ovary to removal of both ovaries with uterus and omentum.

All patients had an excellent recovery after surgery.

Conclusion: Meig’s syndrome presented with benign ovarian tumor (fibroma or thecoma) usually more than 10 cm in diameter, ascites, pleural effusion mainly right sided with their associated symptoms, and mild elevation of CA 125 tumor marker.

It was differentiated from ovarian malignancy by absence of malignant cells in ascitic and pleural fluid cytology and certainly by benign ovarian histopathology