Etiology of Ascites and Pleural Effusion Associated with Ovarian Tumors: Literature Review and Case Reports of Three Ovarian Tumors Presenting with Massive Ascites, but without Peritoneal Dissemination

Borderline ovarian tumors are benign but relatively large tumors that are often initially mistaken as ovarian cancers. We report three cases of stage I borderline ovarian tumors having massive ascites that we (preoperatively) suspected of being advanced ovarian cancer. The three patients (35, 47, an...

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Main Authors: Ai Miyoshi, Takashi Miyatake, Takeya Hara, Asuka Tanaka, Naoko Komura, Shinnosuke Komiya, Serika Kanao, Masumi Takeda, Mayuko Mimura, Masaaki Nagamatsu, Takeshi Yokoi
Format: Article
Language:English
Published: Wiley 2015-01-01
Series:Case Reports in Obstetrics and Gynecology
Online Access:http://dx.doi.org/10.1155/2015/414019
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author Ai Miyoshi
Takashi Miyatake
Takeya Hara
Asuka Tanaka
Naoko Komura
Shinnosuke Komiya
Serika Kanao
Masumi Takeda
Mayuko Mimura
Masaaki Nagamatsu
Takeshi Yokoi
author_facet Ai Miyoshi
Takashi Miyatake
Takeya Hara
Asuka Tanaka
Naoko Komura
Shinnosuke Komiya
Serika Kanao
Masumi Takeda
Mayuko Mimura
Masaaki Nagamatsu
Takeshi Yokoi
author_sort Ai Miyoshi
collection DOAJ
description Borderline ovarian tumors are benign but relatively large tumors that are often initially mistaken as ovarian cancers. We report three cases of stage I borderline ovarian tumors having massive ascites that we (preoperatively) suspected of being advanced ovarian cancer. The three patients (35, 47, and 73 years old) reported feeling fullness of the abdomen before consulting their gynecologist. By CT scan, they were diagnosed with a pelvic tumor accompanied by massive ascites, the diameters of which were 11, 20, and 11 cm, respectively. Postsurgical pathology showed all were stage I borderline ovarian tumors without dissemination; two were mucinous and one was serous. The amount of ascites was 6,300, 2,600, and 3,600 mL, respectively, and was serous in all. Cytodiagnosis of the ascites found that one was positive for tumor cells and two were negative. After resection of the mass, the ascites disappeared in all three cases. No pleural effusion was present at any time. The literature is reviewed concerning ascites and pleural effusions linked to ovarian tumors, and a supposition is forwarded of why pleural effusion presents sporadically in these cases.
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spelling doaj-art-c956f7e35c3043ab97687fe6f1c884e22025-02-03T05:58:50ZengWileyCase Reports in Obstetrics and Gynecology2090-66842090-66922015-01-01201510.1155/2015/414019414019Etiology of Ascites and Pleural Effusion Associated with Ovarian Tumors: Literature Review and Case Reports of Three Ovarian Tumors Presenting with Massive Ascites, but without Peritoneal DisseminationAi Miyoshi0Takashi Miyatake1Takeya Hara2Asuka Tanaka3Naoko Komura4Shinnosuke Komiya5Serika Kanao6Masumi Takeda7Mayuko Mimura8Masaaki Nagamatsu9Takeshi Yokoi10Department of Obstetrics and Gynecology, Kaizuka City Hospital, 3-10-20 Hori Kaiduka-shi, Osaka-fu 597-0015, JapanDepartment of Obstetrics and Gynecology, Kaizuka City Hospital, 3-10-20 Hori Kaiduka-shi, Osaka-fu 597-0015, JapanDepartment of Obstetrics and Gynecology, Kaizuka City Hospital, 3-10-20 Hori Kaiduka-shi, Osaka-fu 597-0015, JapanDepartment of Obstetrics and Gynecology, Kaizuka City Hospital, 3-10-20 Hori Kaiduka-shi, Osaka-fu 597-0015, JapanDepartment of Obstetrics and Gynecology, Kaizuka City Hospital, 3-10-20 Hori Kaiduka-shi, Osaka-fu 597-0015, JapanDepartment of Obstetrics and Gynecology, Kaizuka City Hospital, 3-10-20 Hori Kaiduka-shi, Osaka-fu 597-0015, JapanDepartment of Obstetrics and Gynecology, Kaizuka City Hospital, 3-10-20 Hori Kaiduka-shi, Osaka-fu 597-0015, JapanDepartment of Obstetrics and Gynecology, Kaizuka City Hospital, 3-10-20 Hori Kaiduka-shi, Osaka-fu 597-0015, JapanDepartment of Obstetrics and Gynecology, Kaizuka City Hospital, 3-10-20 Hori Kaiduka-shi, Osaka-fu 597-0015, JapanDepartment of Obstetrics and Gynecology, Kaizuka City Hospital, 3-10-20 Hori Kaiduka-shi, Osaka-fu 597-0015, JapanDepartment of Obstetrics and Gynecology, Kaizuka City Hospital, 3-10-20 Hori Kaiduka-shi, Osaka-fu 597-0015, JapanBorderline ovarian tumors are benign but relatively large tumors that are often initially mistaken as ovarian cancers. We report three cases of stage I borderline ovarian tumors having massive ascites that we (preoperatively) suspected of being advanced ovarian cancer. The three patients (35, 47, and 73 years old) reported feeling fullness of the abdomen before consulting their gynecologist. By CT scan, they were diagnosed with a pelvic tumor accompanied by massive ascites, the diameters of which were 11, 20, and 11 cm, respectively. Postsurgical pathology showed all were stage I borderline ovarian tumors without dissemination; two were mucinous and one was serous. The amount of ascites was 6,300, 2,600, and 3,600 mL, respectively, and was serous in all. Cytodiagnosis of the ascites found that one was positive for tumor cells and two were negative. After resection of the mass, the ascites disappeared in all three cases. No pleural effusion was present at any time. The literature is reviewed concerning ascites and pleural effusions linked to ovarian tumors, and a supposition is forwarded of why pleural effusion presents sporadically in these cases.http://dx.doi.org/10.1155/2015/414019
spellingShingle Ai Miyoshi
Takashi Miyatake
Takeya Hara
Asuka Tanaka
Naoko Komura
Shinnosuke Komiya
Serika Kanao
Masumi Takeda
Mayuko Mimura
Masaaki Nagamatsu
Takeshi Yokoi
Etiology of Ascites and Pleural Effusion Associated with Ovarian Tumors: Literature Review and Case Reports of Three Ovarian Tumors Presenting with Massive Ascites, but without Peritoneal Dissemination
Case Reports in Obstetrics and Gynecology
title Etiology of Ascites and Pleural Effusion Associated with Ovarian Tumors: Literature Review and Case Reports of Three Ovarian Tumors Presenting with Massive Ascites, but without Peritoneal Dissemination
title_full Etiology of Ascites and Pleural Effusion Associated with Ovarian Tumors: Literature Review and Case Reports of Three Ovarian Tumors Presenting with Massive Ascites, but without Peritoneal Dissemination
title_fullStr Etiology of Ascites and Pleural Effusion Associated with Ovarian Tumors: Literature Review and Case Reports of Three Ovarian Tumors Presenting with Massive Ascites, but without Peritoneal Dissemination
title_full_unstemmed Etiology of Ascites and Pleural Effusion Associated with Ovarian Tumors: Literature Review and Case Reports of Three Ovarian Tumors Presenting with Massive Ascites, but without Peritoneal Dissemination
title_short Etiology of Ascites and Pleural Effusion Associated with Ovarian Tumors: Literature Review and Case Reports of Three Ovarian Tumors Presenting with Massive Ascites, but without Peritoneal Dissemination
title_sort etiology of ascites and pleural effusion associated with ovarian tumors literature review and case reports of three ovarian tumors presenting with massive ascites but without peritoneal dissemination
url http://dx.doi.org/10.1155/2015/414019
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