Which of the following ovarian tumors is MOST strongly associated with Meigs syndrome (triad of ovarian tumor, ascites, and hydrothorax)?

• A Fibroma ✓
• B Mucinous cystadenoma
• C Granulosa cell tumor
• D Dysgerminoma

Explanation

Meigs syndrome classically occurs with ovarian fibroma (a benign, solid, fibrous sex-cord stromal tumor), producing ascites and right-sided (or bilateral) pleural effusion that resolve completely after tumor removal. Granulosa cell tumors produce estrogen and cause endometrial hyperplasia. Dysgerminomas are germ cell tumors. Mucinous cystadenomas are epithelial and not associated with Meigs syndrome.

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

High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP

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