Krukenberg tumour

Case contributed by Dr Prashant Mudgal

Presentation

k/c/o of carcinoma of the stomach since 1 year on follow up scan

Patient Data

Age: 40
Gender: Female
Ultrasound
Two solid masses measuring 18cm x 9.5cm,noted in the right adnexa and measuring 9.1cm x 5.8cm is noted in the left adnexa respectively.

These two masses appear heterogenous in echotexture predominantly solid with cystic areas (typical moth eaten cysts).

There is vascularity noted within both lesions.
Bilateral ovaries are not seen separately from the lesions.

Moderate free fluid is seen in the abdomen and pelvic cavity.

Case Discussion

The term Krukenberg tumor refers to metastatic disease to the ovary and more specifically those metastases containing mucin-secreting signet cells. When this definition is used most of these tumors arise in the gastrointestinal tract although the term Krukenberg tumor has also been used more loosely to describe metastatic disease to the ovary from other sites such as breast and genital tract. On ultrasound examination, the Krukenberg tumor has been described as a complex type of mass showing both solid and cystic characteristics. When a mass with these echographic characteristics is found on pelvic sonography it is important to consider this entity in the differential diagnosis.1

The absence of residual disease after treatment and limited disease extent were favorable prognostic factors of metachronous Krukenberg's tumors of stomach origin.2

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Case information

rID: 24596
Case created: 30th Aug 2013
Last edited: 29th Feb 2016
Tag: pm
Inclusion in quiz mode: Included

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