Autor: |
Meigs, Joe Vincent, Cass, John W. |
Zdroj: |
American Journal of Obstetrics and Gynecology; January 1937, Vol. 33 Issue: 2 p249-267, 19p |
Abstrakt: |
There have been described in this paper seven cases of ascites and hydrothorax due to the presence of a tumor of the ovary of a nonsecretory type. The importance of such a lesion in medical and surgical problems seems very great, for unexplained pleurisy with effusion and unexplained ascites are problems that occasionally confront our internists. They must be made aware of the possibility of a simple tumor being responsible for such conditions. The surgeon who found ascites and hydrothorax in a patient with a tumor of the abdomen or pelvis might reasonably feel that a malignant lesion was responsible. It is essential therefore that this entity be known to him, for what could be more satisfactory than to cure such a condition by the simple removal of a benign tumor? Many of us have seen ascites suspected as being of malignant origin cured by the removal of a fibroma, when exploration seemed justifiable because the tumor was movable, but who of us would be daring enough to advise removal of a pelvic tumor accompanied by ascites and fluid in the chest? It is evident that such a patient would be doomed as inoperable, unless it were remembered that this particular entity might be due to a fibroma of the ovary. We feel that such a group of cases should make an impression upon many physicians and surgeons. It is hoped that by their making use of the knowledge some women will escape inevitable invalidism. |
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