Obstetrics & Gynaecology · Ovarian Tumors (Benign, Malignant, Classification)

Meigs syndrome consists of which triad?

  • A Ovarian fibroma, ascites, and pleural effusion (right-sided or bilateral)
  • B Ovarian fibroma, ascites, and pericardial effusion
  • C Krukenberg tumor, ascites, and pleural effusion
  • D Granulosa cell tumor, ascites, and pleural effusion
Correct answer: A. Ovarian fibroma, ascites, and pleural effusion (right-sided or bilateral)

Explanation

Meigs syndrome is defined as the triad of benign ovarian fibroma (or rarely thecoma/cystadenofibroma), ascites, and pleural effusion — typically right-sided, though it can be bilateral or left-sided. The pleural effusion and ascites resolve completely after removal of the ovarian tumor. Granulosa cell tumors may occasionally cause a pseudo-Meigs syndrome but the classic definition involves fibroma.

Reference: Shaw's Textbook of Gynaecology, 17th ed.

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