A Case of Meigs' Syndrome Resulting from Bilateral Ovarian Metastasis of Ascending Colon Cancer

Yasuyuki Kobayashi, Hiroshi Toda, Munenori Ooba and Yuzo Nakaya

Department of Surgery, Seirei Hamamatsu Hospital

A 48-year-old woman admitted for bilateral ovarian tumor and ascites was suspected of metastatic ovarian tumor from computed tomography (CT) findings of a bilateral tumor with a mixed cystic and solid portion, ascending colon cancer was shown by colonic fiberscopy. Chest radiography showed bilateral pleural effusion. Chest and abdominal paracenteses was done, but both cytologic examination of pleural effusion and ascites showed no malignant cells. Primary ascending colon cancer with secondary ovarian tumors and peritoneal and pleural metastatic involvement was suspected, so we conducted surgery after neoadjuvant chemotherapy. Laparotomy showed a bilateral ovarian tumor 15 cm in diameter necessitating right hemicolectomy with D3 dissection and total hysterectomy with bilateral oophorectomy. Intraoperative cytologic examination of ascites showed no malignant cells. Histologic examination of resected specimens confirmed well-differentiated adenocarcinoma of the ascending colon and ovarian metastasis from the primary colon. Pleural effusion disappeared on 11 postoperative day. Based on these findings, she had Meigs'syndrome from ovarian metastasis which is very rare, but is important to be considered and check positively in such a case.

Key words
Meigs' syndrome, ascending colon cancer, ovarian metastasis

Reprint requests
Yasuyuki Kobayashi Department of Surgery, Seirei Hamamatsu Hospital 2-12-12, Sumiyoshi, Hamamatsu, 430-0906 JAPAN

Accepted
October 30, 2002

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