Pseudo-Meigs' syndrome (elevated CA-125, ascites, and pleural effusion) can occur with which ovarian tumour?
- A Mature cystic teratoma
- B Ovarian fibroma ✓
- C Brenner tumour
- D Dysgerminoma
Correct answer: B. Ovarian fibroma
Explanation
Classic Meigs' syndrome is the triad of benign ovarian fibroma + ascites + right pleural effusion, with resolution after tumour removal. Pseudo-Meigs' syndrome refers to the same triad occurring with other benign tumours (thecoma, fibrothecoma) or with elevated CA-125, mimicking malignancy. Ovarian fibroma is the prototype. Mature teratoma, Brenner tumour, and dysgerminoma can cause ascites but are not classic associations for pseudo-Meigs.
Reference: Shaw's Textbook of Gynaecology, 17th ed.
High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP
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