2020, Number 2
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Acta Med 2020; 18 (2)
Krukenberg tumor of colonic origin
Soto ACE, Martínez RM, Márquez AE, Pérez MLR
Language: Spanish
References: 10
Page: 194-196
PDF size: 127.58 Kb.
ABSTRACT
The Krukenberg tumor is a fibroma of digestive origin and presents metastasis to ovary, the highest incidence its between 30 and 40 years. Malignant tumors of the ovary of 3 to 6% correspond to metastatic tumors. The rapid growth is the main characteristics of this, approximately 60 to 80% occur bilaterally. Microscopically presented mucous material wealth in the form of seal ring. Adenocarcinoma of the colon is the tumor that mostly simulates primary carcinoma of ovary; from 10 to 30% of women with carcinoma of colon will present a secondary tumor focus in ovary. Case report: Female 41 years with generalized abdominal pain and vomiting, performs ultrasound finding 11 cm left ovary-dependent mass. Laparoscopy showing green and abundant liquid in cavity, peritoneal implants in bladder, SAC and omentum; liquid and node in omentum is taken, they are sent and it reports metastatic adenocarcinoma. We proceed to laparotomy for cytoreduction. Report definitive histopathological primary moderately differentiated adenocarcinoma of the colon metastatic to ovary, “Krukenberg tumor”. Today patient continues treatment with oncology-based chemotherapy, latest PET-CT study with data in connection with stable disease.
REFERENCES
Young RH. From Krukenberg to today: the ever present problems posed by metastatic tumors in the ovary: part I. Historical perspective, general principles, mucinous tumors including the Krukenberg tumor. Adv Anat Pathol. 2006; 13 (5): 205-227.
Mazur MT, Hsueh S, Gersell DJ. Metastases to the female genital tract. Analysis of 325 cases. Cancer. 1984; 53 (9): 1978-1984.
Blanco FJ, Hernando E, García JL, Cebollero MP, Bavai A, Del Río F et al. Tumor de Krukenberg. A propósito de un nuevo caso. Cir Española. 2000; 68: 68-70.
Prat J. Ovarian carcinomas, including secondary tumors: diagnostically challenging areas. Mod Pathol. 2005; 18 Suppl 2: S99-S111.
Jun SY, Park JK. Metachronous ovarian metastases following resection of the primary gastric cancer. J Gastric Cancer. 2011; 11 (1): 31-37.
Antila R, Jalkanen J, Heikinheimo O. Comparison of secondary and primary ovarian malignancies reveals differences in their pre- and perioperative characteristics. Gynecol Oncol. 2006; 101 (1): 97-101.
Yamanishi Y, Koshiyama M, Ohnaka M, Ueda M, Ukita S, Hishikawa K et al. Pathways of metastases from primary organs to the ovaries. Obstet Gynecol Int. 2011; 2011: 612817.
Kiyokawa T, Young RH, Scully RE. Krukenberg tumors of the ovary: a clinicopathologic analysis of 120 cases with emphasis on their variable pathologic manifestations. Am J Surg Pathol. 2006; 30 (3): 277-299.
Daya D, Nazerali L, Frank GL. Metastatic ovarian carcinoma of large intestinal origin simulating primary ovarian carcinoma. A clinicopathologic study of 25 cases. Am J Clin Pathol. 1992; 97 (6): 751-758.
López-Arias A, Salazar-Campos JE, Pérez-Montiel D, Villavicencio-Valencia V, Cantú de León D. Tumores metastásicos de ovario. Un reto diagnóstico y terapéutico. Gaceta Mexicana de Oncología. 2016; 15 (1): 47-51.