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目的讨论卵巢甲状腺肿合并假性麦格氏综合征及CA125升高的临床特点、发病原因及与其他疾病的鉴别诊断。方法报告卵巢甲状腺肿合并假性麦格氏综合征并CA125升高1例并复习1996年至今的国内外文献13例。结果均于手术切除后胸腹水消失,血清CA125降至正常。结论卵巢甲状腺肿合并假性麦格氏综合征及CA125升高的病例术前很难与卵巢麦格氏综合征及恶性肿瘤鉴别,组织学病理确定诊断,手术后预后好。
Objective To discuss the clinical features, pathogenesis and differential diagnosis of ovarian goiter complicated with pseudo-McGrath syndrome and elevated CA125. Methods The report of ovarian goiter with pseudo-McGonagall syndrome and CA125 increased in 1 case and review of literature since 1996, 13 cases. The results were in the pleural effusion disappeared after surgery, serum CA125 dropped to normal. Conclusions Preoperative ovarian goiter complicated with pseudo-McGrath syndrome and elevated CA125 is difficult to differentiate from ovarian McGonagall syndrome and malignant tumors. The diagnosis of histological and pathological diagnosis is good, and the prognosis after operation is good.