Presentation
Concern for obstruction.
Patient Data
Age: 65
Gender: Female
From the case:
Colorectal ovarian metastasis (Krukenberg tumor)
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Info
Large obstructive colorectal cancer with venous tumor invasion and enlarged perirectal nodes. Enlarged left common iliac node. Liver metastases. Diffusely dilated bowel.
Complex multiloculated mass in right ovary.
Rounded submucosal mass in anterior uterine fundus likely fibroid.
Pelvic floor insufficiency.
Case Discussion
Pathology-proven metastasis to the right ovary highlights the importance of careful inspection of the ovaries when staging and restaging malignancy. The degree of irregular separations and soft tissue enhancement favors metastasis or synchronous ovarian malignant tumor over a benign cyst.
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