2017, Number 08
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Ginecol Obstet Mex 2017; 85 (08)
Peritonectomy with hyperthermic intraperitoneal chemotherapy in the treatment of Krukenberg tumor. A clinical case
Pantoja-Garrido M, Frías-Sánchez Z, Vaquerizo-García JC, Jiménez Sánchez C
Language: Spanish
References: 17
Page: 547-554
PDF size: 465.69 Kb.
ABSTRACT
Background: These tumors are defined as metastatic ovarian adenocarcinomas of usually digestive origin. The few symptoms usually occurs when the disease is in advanced stages and, in most cases, with bilateral extension to both annexes. Krukenberg tumors frequently appear in young patients. Diagnosis is based on imaging tests and on the sensitivity of these tumors to specific immunoreactive markers, especially to those related to diseases of the digestive tract.
Objetive: report the case of a patient with Krukenberg tumor.
Clinical case: present the case of a patient who underwent breast cancer surgery 10 years ago as the only gynecological history of interest, who was diagnosed with ovarian metastases of primary gastric adenocarcinoma, treated with radical surgery plus intraperitoneal hyperthermic chemotherapy, and with survival of almost two years between tumor diagnosis and patient exitus.
Conclusion: These therapies include radical surgeries such as peritonectomy, chemotherapy treatments aimed at treating associated carcinomatosis, and hyperthermic intraperitoneal techniques. Survival can vary depending on the series, and it is generally considered a disease of very poor prognosis.
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