True about Meig's syndrome ;
Ans. is c i.e. Associated with ascites and pleural effusion; and No treatment required Ascites and right sided hydrothorax in association with fibroma of ovary is called as Meig's syndrome. It can also be seen in Brenner's tumour and Granulosa cell tumour where it is called as Pseudomeig's syndrome. Hydrothorax can be bilateral also. True meig's syndrome is rare, occuring in < 5 per cent of fibromas. Ascites is caused by transudation of fluid from the ovarian fibroma. Hydrothorax develops secondary to flow of ascitic fluid into the pleural space lymphatics of the diaphragm. Ascites occurs (in 50% cases) when tumour size is > 6 cms. Tumours producing Meig's syndrome manifest in the late childbearing period i.e., 30 - 40 years. Both ascites and hydrothorax resolve spontaneously after removal of the tumour. Criteria for diagnosis of Meig's syndrome : Tumour must be ovarian, solid and benign. Both hydrothorax and ascites must be present. Removal of the tumour must result in their spontaneous and permanent cure. Pseduomeig syndrome : Can be seen in association with either benign or malignant tumour. Hydrothorax could be a manifestation of pulmonary metastasis. Syndrome can result from overstimulation of the ovaries with gonadotropins but, in such cases, the peritoneal exudate is more likely to be caused by an electrolyte imbalance rather than by ovarian tumour.
Lymphatic dysplasia
2 - 30 years age
Associated with ascites and pleural effusion and No treatment required
None