Krukenberg tumor, a silent but deadly killer

Authors

  • Eduardo Córdoba Chaverra
  • Caridad Chao Pereira Hospital Cliniuco Quirurgico Hermanos Ameijeiras
  • Carlos Domínguez Alvarez
  • Martín Herrera Rojas

Keywords:

ovarian tumor, metastatic tumor, Krukenberg tumor.

Abstract

Introduction: Krukenberg tumor is a metastatic ovarian tumor that generally occurs secondary to a tumor of gastrointestinal origin. It has low incidence and represents 1-2% of reported cases.

Objective: To report the case of a female patient with diagnosis of Krukenberg tumor.

Case report: The case of a 60-year-old patient with a 6-month history of diffuse abdominal pain, ascites and weight loss is reported. No intra-abdominal or pelvic tumor was evidenced by images, thus, it was decided to perform a diagnostic videolaparoscopy, and metastases were found at the level of the peritoneum and both ovaries. The biopsy reported a ring cell tumor. The patient died before starting cancer therapy.

Conclusions: Krukenberg tumor is a pathology with low incidence, which represents an ovarian metastasis from a tumor that, in most cases, has a gastrointestinal origin. The symptoms are usually vague. The diagnosis of Krukenberg tumor usually precedes the diagnosis of the primary tumor, resulting in poor diagnosis. Differentiating a primary ovarian tumor from a Krukenberg tumor is essential for better treatment.


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Author Biography

Carlos Domínguez Alvarez

Especialista de Segundo Grado en anatomía Patológica

References

Lionetti R, De Luca M, Travaglino A, Raffone A, Insabato L, Saccone G, et al. Treatments and overall survival in patients with Krukenberg tumor. Arch Gynecol Obstet. 2019 [acceso 06/02/2023];300(1):15-23. Disponible en: https://pubmed.ncbi.nlm.nih.gov/31044302/

Ruggero L, De Luca M. Prognostic factors in Krukenberg tumor. Arch Gynecol Obstet. 2019 [acceso 06/02/2023]. Disponible en: https://pubmed.ncbi.nlm.nih.gov/31542818/

Osama M, Al-Agha MD; Anthony D, Nicastri MD. An In-depth Look at Krukenberg Tumor. Arch Pathol Lab Med. 2006 [acceso 06/02/2023];130. Disponible en: https://pubmed.ncbi.nlm.nih.gov/17076540/

Zulfiqar M, Koen J. Krukenberg Tumors: Update on Imaging and Clinical Features. AJR:215. 2020 [acceso 06/02/2023]. Disponible en: https://pubmed.ncbi.nlm.nih.gov/32755184/

Published

2023-04-18

How to Cite

1.
Córdoba Chaverra E, Chao Pereira C, Domínguez Alvarez C, Herrera Rojas M. Krukenberg tumor, a silent but deadly killer. Acta Médica [Internet]. 2023 Apr. 18 [cited 2024 Dec. 11];24(1). Available from: https://revactamedica.sld.cu/index.php/act/article/view/315

Issue

Section

Presentación de caso

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