Rare giant ovarian thecoma presented as atypical/incomplete Meigs' syndrome: A case image report

Anastasios Potiris; Ioannis S Pateras; Nektarios Koufopoulos; Menelaos G Samaras; Spyridon Topis; Maria-Gesthimani Chousmekeridou; Athanasios Zikopoulos; Ekaterini Domali; Peter Drakakis; Sofoklis Stavros

doi:10.1002/ccr3.9558

Rare giant ovarian thecoma presented as atypical/incomplete Meigs' syndrome: A case image report

Clin Case Rep. 2024 Oct 31;12(11):e9558. doi: 10.1002/ccr3.9558. eCollection 2024 Nov.

Affiliations

¹ Third Department of Obstetrics and Gynecology University General Hospital "ATTIKON", Medical School, National and Kapodistrian University of Athens Athens Greece.
² Second Department of Pathology University General Hospital "ATTIKON", Medical School, National and Kapodistrian University of Athens Athens Greece.
³ First Department of Obstetrics and Gynecology Alexandra Hospital, Medical School, National and Kapodistrian University of Athens Athens Greece.

Abstract

We present a 39-centimeter thecoma with ascites and elevated Ca-125 values which is compatible with an atypical/incomplete Meigs' syndrome. Giant ovarian masses with elevated Ca-125 values and ascites are an alarming combination, although Gynecologists should be aware that there are also benign entities that mimic advanced stage ovarian cancer.

Keywords: Meigs' syndrome; Thecoma; ascites; sex cord‐stromal tumors.