Abstract
A 34-year-old woman was seen at the hospital because of exertional dyspnea. Before entry, radical mastectomy for left breast cancer was performed in June 1998, and resection and reconstruction of the chest wall for recurrence of left breast cancer were performed in April 2001. She was admitted because of exertional dyspnea with right pleural effusion in October 2002. About 5002000ml/day of pleural effusion was discharged by continuous thoracic drainage. Cytology resulted in class II, and the culture of bacteria and tubercle bacillus yielded negative result. No findings of cardiac failure were revealed. Being under the treatment of cryptogenic intractable pleural effusion, she was found to have a huge pelvic tumor with abdominal full sensation. Primary organ was unknown. She was operated on and bilateral ovarian tumors were removed in November 2002. After the operation, right pleural effusion was vanished and she was diagnosed as having pseudo-Meigs' syndrome with bilateral ovarian metastasis of breast cancer. There has been no report on pseudo-Meigs' syndrome with bilateral ovarian metastasis of breast cancer, and our case is the first report.
