False McGonagall Syndrome

Introduction to pseudo-Megger syndrome Intrinsic is a syndrome in which ascites and pleural effusion are associated with pelvic tumors, and ascites and pleural effusions do not necessarily disappear after tumor resection. The clinical manifestations of pseudo-Megger syndrome are similar to those of true Meg syndrome. Most of the ascites produced are brown-red, bloody ascites, sometimes mixed with mucus or tumor contents, ascites viscous and turbid, and smears are examined by centrifugation. basic knowledge The proportion of illness: 0.01%-0.03% Susceptible people: women Mode of infection: non-infectious Complications: pleural effusion, ascites

Cause of pseudo-Megger syndrome

Causes:

Most of the causes of ascites occur in the ovary, fallopian tube, uterus and other malignant tumors, especially those with peritoneal implantation or metastasis, benign papillary cystadenoma and mucinous cystadenoma, because the nipple breaks through the wall It can be planted in the peritoneum and can also produce large amounts of ascites.

Pathogenesis:

Pseudo-Meg's syndrome is a non-ovarian fibroma, but other types of ovarian, malignant, pancreatic or other tumors. Pseudo-Megger syndrome produces ascites with ovarian, fallopian tube, uterus or round ligament. Such malignant tumors, especially those with peritoneal implantation or metastasis, epithelial papillary carcinoma, which is implanted in the peritoneum due to the nipple penetrating the cyst wall. These tumor cells transplanted or transferred to the peritoneum may have secretion and its decomposition products make the peritoneum It is chemically stimulated to produce ascites; it can also be caused by rupture of ovarian tumors, and the contents of the tumor continuously infiltrate into the abdominal cavity to form ascites; it can also reach the thoracic cavity through the diaphragm or lymphatics, causing pleural effusion.

Fake McGregor Syndrome

Early detection, early surgery, good follow-up.

Syndrome of pseudo-Megger syndrome Complications pleural effusion ascites

Pleural effusion and ascites regressed after surgery and recurred in a short period of time.

Symptoms of pseudo-Megger syndrome Common symptoms Ascites ascites ascites

The clinical manifestations of pseudo-Megger syndrome are similar to those of true Meg syndrome. Most of the ascites occur are brown-red, bloody ascites, sometimes mixed with mucus or tumor contents, ascites viscous, smears by centrifugation, sometimes Can be found in cancer cells, so do abdominal puncture, take ascites specimens for examination, is conducive to diagnosis and identification.

Examination of pseudo-Megger syndrome

1. Hormone determination If the intrinsic hormone is caused by a functional tumor, for example, in patients with ovarian primary choriocarcinoma, chorionic gonadotropin can be detected in blood and urine.

2. Ultrasound examination Ultrasound can help diagnose the location of the tumor to distinguish between cystic or substantial tumors.

3. Analysis of ascites traits Most of the pseudo-Megger syndrome is bloody, and cancer cells can be found; while the true mala syndrome ascites is clear; pseudo-Megger syndrome can often find some tumor markers in the ascites. Histopathological examination is a gold indicator for the diagnosis of the disease. Surgical removal of the tumor, or laparoscopic biopsy, is also the only way to confirm the diagnosis of the intrinsic.

Diagnosis and diagnosis of pseudo-Megger syndrome

First of all, the clinical manifestations of the diagnosis of malignant pelvic tumors, combined with chest or abdominal puncture positive, can be diagnosed.

Differential diagnosis

1. The location and nature of the tumor. The McGregor syndrome refers to ovarian fibroma with ascites and pleural effusion. The tumor occurs mostly on one side. It is a benign solid tumor with occasional malignancy, while the intrinsic tumor is in the ovary. , fallopian tubes, uterus, uterine round ligaments can occur, most of them are malignant tumors and benign tumors have clinical malignant manifestations, such as benign papillary serous cystadenoma and papillary growth of mucinous cystadenoma, etc., intrinsic Tumors can also occur in other organs and in the peritoneum, surrounding tissue.

2. Ascites effusion examination of ovarian fibroids caused by clear ascites, light yellow or yellow-green, relative density (specific gravity) is low, which colloid, cell and cell debris components are small, can not find cancer cells, fake Meg synthesis Most of the peritoneal effusions that occur are brown-red, bloody ascites, and sometimes due to mucus or tumor contents, ascites are viscous and turbid, and smears are examined by centrifugation, sometimes with cancer cells or exfoliated tumor cells. Therefore, depending on the situation, abdominal puncture can be performed, and ascites specimens can be taken for examination, which is conducive to diagnosis and identification.

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