Pseudo-Meig’s syndrome with multiple synchronous benign and malignant pelvic tumors

Background: Meig’s and Pseudo-Meig’s syndromes have been reported in association with several malignancies but the concomitant existence of multiple synchronous benign and malignant tumors in association with Pseudo-Meigs’ syndrome has not been reported in the published literature. Case: A 55-year old African American woman presented with mild asthma exercebation, right ovarian mass, hydrothorax and elevated CA-125 levels. Histological examination confirmed a right ovarian carcinoid tumor embedded within a mature cystic teratoma while the left ovary, fallopian tube and the uterus contained a poorly differentiated adenocarcinoma of the endometrium. Conclusion: This is the first case report of Pseudo-Meig’s syndrome in association with ovarian carcinoid tumor and multiple synchronous benign and malignant pelvic tumors.