Which ovarian tumor is associated with Meigs syndrome and what is the CORRECT triad?

• A Serous cystadenoma + ascites + pleural effusion
• B Fibroma + ascites + pleural effusion ✓
• C Brenner tumor + ascites + hydrothorax
• D Granulosa cell tumor + ascites + pleural effusion

Explanation

Meigs syndrome is the classic triad of ovarian fibroma (or fibrothecoma), ascites, and right-sided pleural effusion. It is benign and all features resolve after removal of the ovarian tumor. The mechanism involves fluid transudation from the fibroma that tracks through lymphatics to the pleural cavity. CA-125 may be elevated in Meigs syndrome, which is a potential pitfall for misdiagnosis as malignancy.

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

High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP

Written and medically reviewed by the StethoPrep medical team.