True about Meig’s syndrome:a) Lymphatic dysplasiab) 2-30 years agec) Associated with ascites and pleural effusiond) No treatment required
The correct answer is probably option C. Because Meig's syndrome is indeed characterized by the presence of ascites and pleural effusion, typically in the context of benign ovarian tumors, especially fibromas. Let me double-check that. Yes, the triad is a benign ovarian tumor (like fibroma) plus ascites and pleural effusion. So option C is correct.
Now, why are the other options wrong? Option A says lymphatic dysplasia. Hmm, I don't think that's part of Meig's. Maybe other conditions have lymphatic issues, but not this one. Option B mentions age 2-30 years. Wait, Meig's is more common in middle-aged women, so that age range seems too young. Option D says no treatment required, but if the effusions are causing symptoms, they might need drainage or treating the underlying tumor.
Clinical pearl: Remember the triad—ovarian fibroma with ascites and pleural effusion. Also, the effusions resolve after removal of the tumor. So the key is the association with the tumor and the resolution post-surgery. That's a high-yield fact for exams.
**Core Concept**
Meig's syndrome is a clinical condition characterized by the triad of benign ovarian tumor (typically fibroma), ascites, and pleural effusion. It is pathophysiologically linked to peritoneal and pleural fluid accumulation due to mechanical obstruction of lymphatic drainage by the ovarian mass.
**Why the Correct Answer is Right**
Option C is correct because Meig's syndrome is classically defined by the association of benign ovarian tumors (e.g., fibromas) with **ascites and pleural effusion**. The pleural effusion is usually unilateral (left-sided in 75% of cases) and resolves after surgical removal of the tumor, confirming the syndrome’s reversible nature. The underlying mechanism involves lymphatic obstruction by the tumor, leading to fluid accumulation in peritoneal and pleural cavities.
**Why Each Wrong Option is Incorrect**
**Option A:** Lymphatic dysplasia is not a feature of Meig’s syndrome. This term refers to structural abnormalities in lymphatic vessels, which are not causally linked to the syndrome.
**Option B:** The age range of 2–30 years is incorrect. Meig’s syndrome typically affects **postmenopausal women** (median age ~60 years), not young adults.
**Option D:** "No treatment required" is false. While the effusions resolve post-surgery, management involves **surgical excision of the ovarian tumor**, with or without diuretics for symptomatic relief.
**Clinical Pearl / High-Yield Fact**
Remember the **"Meig’s triad"**: benign ovarian tumor (most commonly fibroma) + ascites + pleural effusion. The key diagnostic clue is resolution