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Robles Cartagena I, Robles Cartagena A, Delgado Flores G, Monroig Quiles P, Cabanillas F, Báez L, Santos Reyes L, Vicens R. Metastatic Ovarian Tumor Masquerading as Atypical Pneumonia. Bol Asoc Med P R 2015; 107:38-41. [PMID: 26742194] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/05/2023]
Abstract
Krukenberg tumor is a malignancy in the ovary from a primary lesion in the gastrointestinal tract and a metastatic signet ring cell adenocarcinoma to the ovary. Stomach is the most common primary site, but other organs can serve as a primary site. The lymphatic system is the most likely route for metastasis. CA 125 levels can be used for screening for early detection of ovarian metastasis as well as for monitoring the course of disease. The prognosis of Krukenberg tumor is poor and no curative treatment is currently available.
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Abstract
A 50-year-old woman who presented with a one-month history of abdominal fullness and dyspnoea was admitted to our hospital. Esophagogastroduodenoscopy showed the scirrhous-type gastric cancer on the greater curvature of the gastric body. Computed tomography revealed bilateral large ovarian tumours with massive right pleural effusion and ascites. A repeated cytological examination of pleural effusion and ascites revealed no malignant cells. The definitive diagnosis of pseudo-Meigs' syndrome was made by confirming the fact that pleural effusion and ascites disappeared after bilateral oophorectomy. Resection of ovarian tumours may also lead to long-term survival, even in the patients with pseudo-Meigs' syndrome caused by gastric cancer.
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Affiliation(s)
- Takahiro Horimatsu
- Department of Therapeutic Oncology, Kyoto University Graduate School of Medicine, Japan
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Papakonstantinou E, Liapis A, Kairi-Vassilatou E, Iavazzo C, Kleanthis CK, Kondi-Pafiti A. Virilizing ovarian Krukenberg tumor in a 27-year-old pregnant woman. A case report and literature review. EUR J GYNAECOL ONCOL 2011; 32:331-333. [PMID: 21797128] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/31/2023]
Abstract
A case is reported of a 27-year-old pregnant woman with ovarian tumors, measuring 12 cm and 11.5 cm in the greatest diameter, discovered during investigation for virilization symptoms. Termination of the pregnancy at the 22nd week of gestation and tumorectomy with both adnexa were performed, with the provisional diagnosis of arrhenoblastoma. Pathological examination of the tumors showed typical Krukenberg neoplasms and subsequent upper GI tract endoscopy revealed a gastric cancer that was excised. The pathological examination revealed a diffuse type gastric adenocarcinoma with signet ring morphology, similar to ovarian tumors. In any case of ovarian tumor with unusual hormonal manifestations, in addition to hormonally active sex cord-stromal neoplasms, metastatic ovarian tumors must be considered as well, especially in cases of bilateral tumors.
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Ezem BU, Osuagwu CC, Onyiaorah IV. Krukenberg tumour simulating uterine fibroids and pelvic inflammatory disease. Niger J Clin Pract 2010; 13:336-337. [PMID: 20857797] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/29/2023]
Abstract
OBJECTIVE To report a case of cancer of the colon which presented as secondaries to the ovaries. METHOD Case report. SUMMARY The case presented is that of a 39-year-old female who presented with lower abdominal pain and a multinodular pelvic mass which led to an initial diagnosis of multiple uterine fibroids and pelvic inflammatory disease. The presence of a colonic mass was first suggested by ultrasound. Laparotomy revealed carcinoma of the colon with bilateral krukenberg's tumour and an insignificant fibroleiomyoma. CONCLUSION This case is reported to alert practitioners that all multinodular pelvic masses should not be assumed to be multiple fibroids.
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Affiliation(s)
- B U Ezem
- Department of Obstetrics and Gynaecology, Imo State University Teaching Hospital, Orlu, Nnewi.
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Christopoulos C, Skopeliti M, Rotas E, Mavridis A, Savva S, Papavassiliou E. Non-Hodgkin lymphoma involving stomach and ovary: extending the Krukenberg tumor concept. Ann Hematol 2009; 89:101-2. [PMID: 19495751 DOI: 10.1007/s00277-009-0770-2] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/05/2009] [Accepted: 05/26/2009] [Indexed: 11/25/2022]
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6
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Bayod MJH, Carlón ME, Idoate MA. [Pseudomeigs syndrome in a patient with Krukenberg's tumor]. Rev Med Univ Navarra 2007; 51:19-22. [PMID: 18183782] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/25/2023]
Abstract
We report the case of a fiftyone-year-old woman with a past medical history of Linfoma no Hodking and a gastric adenocarcinoma with signet ring cells. She came to our institution with a twenty month history of dysnea secondary to pleural effussion, bilateral lower extremity edema and probably had ascitis. On CT and US two bilateral pelvic masses were found and biopsied. The anatomopathological analysis showed bilateral ovarian implants from signet ring cell adenocarcinoma (Krukenberg tumor). This patient developed a PseudoMeigs syndrome consisting on malignant ovarian tumor asociated with ascitis and pleural effusion without malignant cells. Oncological patients who present with ascitis and benign pleural effusion, the diagnosis of PseudoMeigs syndrome should be considered.
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Affiliation(s)
- M J Herráiz Bayod
- Servicio de Radiodiagnóstico, Clínica Universitaria, Facultad de Medicina, Universidad de Navarra, Pamplona.
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Cetin B, Aslan S, Akinci M, Atalay C, Cetin A. A long surviving case of Pseudomeigs' syndrome caused by Krukenberg tumor of the stomach. Jpn J Clin Oncol 2005; 35:221-3. [PMID: 15845573 DOI: 10.1093/jjco/hyi055] [Citation(s) in RCA: 12] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/16/2022] Open
Abstract
Meigs syndrome is defined as the triad of benign ovarian tumor with ascites and pleural effusion that resolve after resection of the tumor. Pseudomeigs' syndrome is a serious disease characterized by malignant ovarian tumor, but ascites and hydrothorax usually reveal no malignant cells. Here, we report a 47-year-old pre-menapausal female patient with cardia cancer. Nearly 14 months after D3 dissection, she developed Krukenberg tumors on both ovaries causing a Pseudomeigs' syndrome with benign ascites and right hydrothorax, which resolved dramatically after resection of the tumors and rectouterine pouch peritonectomy. She survived nearly 3 years after metastasectomy with a total survival of 46 months. The patient died because of massive liver metastases. The present case suggests that Pseudomeigs' syndrome should be considered in patients with Krukenberg tumors, ascites and hydrothorax and that resection of the tumors may bring long-term palliation.
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Affiliation(s)
- Bahadir Cetin
- Ankara Oncology Hospital, Department of Surgery, Ankara, Turkey.
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Palma Modoni A, De Galasso L, Scriccia S, Milanetti F, Sgambato E, Spoto S, Costantino S. [A 52 year-old woman with fever, cough and dyspnoea]. Clin Ter 2004; 155:401-4. [PMID: 15700634] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/01/2023]
Abstract
A 52 year-old woman with gastric cancer treated with surgery and chemotherapy, is admitted in our Internal Medicine Department because of the presence of fever (max 41.2 degrees C), dyspnoea, non-productive cough and mental confusion. The anamnesis and the physical examination address to the diagnosis of CAP (Community-Acquired Pneumonia); in particular the alteration of consciousness and the onset of symptoms after the insertion of a nose-gastric tube let us to consider the diagnosis of aspiration pneumonia. The clinical presentation and radiological imaging (Rx and CT of thorax) suggest the pattern of bronchiolitis obliterans with organizing pneumonia (BOOP). BOOP is not a disease, but a non specific pattern of answer to a lung injury. It can be either idiopathic or associated with a variety of causes, such as infections, drugs, radiations and connective tissue diseases. Besides the clinical course is complicated by the onset of an ARDS (Adult Respiratory Distress Syndrome). The gold standard for the diagnosis is represented by lung biopsy with hystopathologic confirmation but, if it cannot be done, it's necessary to start immediately steroid therapy because BOOP may be fatal. The patient received antibiotic and steroid therapy with success.
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MESH Headings
- Adrenal Cortex Hormones/therapeutic use
- Anti-Bacterial Agents
- Carcinoma, Signet Ring Cell/complications
- Carcinoma, Signet Ring Cell/secondary
- Carcinoma, Signet Ring Cell/surgery
- Confusion/etiology
- Cough/etiology
- Cryptogenic Organizing Pneumonia/diagnosis
- Cryptogenic Organizing Pneumonia/diagnostic imaging
- Cryptogenic Organizing Pneumonia/etiology
- Diagnosis, Differential
- Drug Therapy, Combination/therapeutic use
- Dyspnea/etiology
- Female
- Fever/etiology
- Humans
- Intestinal Obstruction/etiology
- Intestinal Obstruction/therapy
- Intubation, Gastrointestinal/adverse effects
- Klebsiella Infections/complications
- Klebsiella Infections/drug therapy
- Klebsiella oxytoca
- Krukenberg Tumor/complications
- Krukenberg Tumor/secondary
- Krukenberg Tumor/surgery
- Middle Aged
- Ovarian Neoplasms/complications
- Ovarian Neoplasms/secondary
- Ovarian Neoplasms/surgery
- Peritoneal Neoplasms/complications
- Peritoneal Neoplasms/secondary
- Peritoneal Neoplasms/surgery
- Pneumonia, Aspiration/complications
- Pneumonia, Bacterial/complications
- Pneumonia, Bacterial/drug therapy
- Postoperative Complications/etiology
- Respiratory Distress Syndrome/diagnosis
- Respiratory Distress Syndrome/diagnostic imaging
- Respiratory Distress Syndrome/etiology
- Stomach Neoplasms/complications
- Stomach Neoplasms/surgery
- Tomography, X-Ray Computed
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Okutomi T, Hoshino Y, Amano K, Okamoto H, Hoka S. Intrathecal fentanyl/meperidine combined with low-dose epidural bupivacaine for Cesarean section in a patient with advanced Krukenberg tumors. Acta Anaesthesiol Scand 2002; 46:1272-5. [PMID: 12421201 DOI: 10.1034/j.1399-6576.2002.461016.x] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
Abstract
This case report demonstrates the anesthetic management of a 41-year-old primiparous parturient with massive ascites due to advanced Krukenberg tumors, undergoing Cesarean section. We chose a combined intrathecal-epidural technique, using intrathecal hypobaric fentanyl and hyperbaric meperidine, and a low dose of epidural bupivacaine in order to avoid hemodynamic instability in this critically ill patient. Surgery was carried out without difficulty under adequate regional anesthesia. The blood pressure was maintained with low doses of phenylephrine and dopamine. Opioid-related complications such as nausea-vomiting, pruritus, drowsiness, and respiratory depression were not observed in this patient. Therefore, intrathecal opioids combined with a low dose of epidural local anesthetics for Cesarean section is suitable for critically ill patients with malignant abdominal tumors, such as a Krukenberg tumor, complicated by massive ascites.
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Affiliation(s)
- T Okutomi
- Departments of Anesthesiology, Obstetrics and Gynecology, Kitasato University School of Medicine, Sagamihara, Kanagawa, Japan.
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Morgan MK, Zammit-Maempel I, Hill J. Meningeal carcinomatosis: an unusual cause of deafness. J R Coll Surg Edinb 1998; 43:119-21. [PMID: 9621540] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/07/2023]
Abstract
Meningeal carcinomatosis is the diffuse infiltration of the meninges by metastatic carcinoma. Patients usually have a known underlying malignancy, but primary presentation can be with symptoms of meningeal involvement. The cases are reported of two patients who presented with sensorineural hearing loss. The roles of gadolinium-enhanced magnetic resonance imaging and cerebrospinal fluid cytology in reaching the diagnosis are discussed.
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Affiliation(s)
- M K Morgan
- Department of Otolaryngology-Head and Neck Surgery, Freeman Hospital, Newcastle upon Tyne, UK
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Vauthier-Brouzes D, Vanna Lim-You K, Sebagh E, Lefebvre G, Darbois Y. [Krukenberg tumor during pregnancy with maternal and fetal virilization: a difficult diagnosis. A case report]. J Gynecol Obstet Biol Reprod (Paris) 1998; 26:831-3. [PMID: 9509327] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/06/2023]
Abstract
We present a case of maternal and fetal virilization caused by an androgen-secreting ovarian tumor. Biopsy at caesarean section was required to determine the etiology (Krukenberg tumor) and orient diagnosis to a primary cancer (gastric adenocarcinoma).
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Nagakura K, Hirakawa H, Itasaka K, Sakurada T, Mineta T, Yuda F. [Case of "carcinomatous cirrhosis" caused by diffuse hepatic metastasis of occult breast cancer]. Nihon Naika Gakkai Zasshi 1997; 86:312-3. [PMID: 9139070] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/04/2023]
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Arnedillo Muñoz A, Rodríguez De Guzmán MC, Puente Maestu L, García de Pedro J. [Dyspnea as the only symptom in a Krukenberg tumor]. An Med Interna 1996; 13:564-5. [PMID: 9019222] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/03/2023]
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Abstract
A case of tubular Krukenberg tumor in pregnancy with virilization is presented. The pathology is reviewed. This rare tumor must be distinguished from a Sertoli-Leydig tumor. The index case adds to the previously recorded eight cases. All nine cases reviewed presented with progressive virilization between the third and eighth month of gestation, which regressed after surgery. The fetal outcomes of seven cases have been recorded. The fetuses were all female and of these five were virilized. A gastric primary was found in five cases. A primary breast carcinoma was postulated in another. In the remaining cases either no autopsy was performed or no primary tumor was found.
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Affiliation(s)
- M F Fung
- Department of Obstetrics, Gynecology, and Reproductive Sciences, St. Boniface Hospital, Winnipeg, Manitoba, Canada
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15
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Raziq F. Krukenberg tumour responsible for hirsutism. J PAK MED ASSOC 1991; 41:44-5. [PMID: 1850810] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/29/2022]
Affiliation(s)
- F Raziq
- Department of Pathology, Ayub Medical College, Abbotabad
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Yokota T, Hagiwara A, Sawai K, Yamaguchi T, Shimotsuma M, Sasabe T, Ohyama T, Takahashi T. Mitomycin C adsorbed on activated carbon particles: is intraperitoneal chemotherapy effective for synchronous pleuritis carcinomatosa? Am J Gastroenterol 1989; 84:1124-5. [PMID: 2549785] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/11/2022]
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Ishida M, Hatate Y, Sato Y, Takanashi S, Yuasa K, Kudo M, Takase H, Onodera K, Matsui T, Shiratori Y. [2 cases of bilateral chylothorax associated with malignant tumor]. Nihon Kyobu Shikkan Gakkai Zasshi 1986; 24:303-8. [PMID: 3016394] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/03/2023]
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18
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Abstract
A case of fetal masculinization resulting from a Krukenberg tumor in a pregnant woman is reported in a newborn infant with a sexual ambiguity of the external genitals, of the feminine pseudohermaphrodite type. She also had an incarceration of both ovaries and tubes in a right inguinoscrotal hernia that was surgically corrected.
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Sani G, Borghetti G, Bassani P, Turi A. [A case of Krukenberg tumor with virilization aspects]. Minerva Ginecol 1977; 29:910-5. [PMID: 204886] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 12/13/2022]
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20
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Jancić A, Durić D. [Krukenberg's tumor of the ovary and uterine myoma]. Jugosl Ginekol Opstet 1976; 16:317-20. [PMID: 190483] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 12/13/2022]
Abstract
A case of Krukenberg's tumour of the ovary in a 41-year-old patient is described. A year before admission she had mild gastric trouble, repeated short-lasting amenorrhea followed by prolonged bleeding. The menstruations preceding hospitalization were normal and painless. More serious trouble developed suddenly, four days before admission, in the form of intense pain in the lower abdomen and moderate bleeding. The woman had delivered twice and had 6 abortions. Her mother died of intestinal cancer. On examination, the patient was found to have two tumours: one on the right side, the size of a newborn's head, and one on the left side, the size of a female fist, both kidney-shaped and mobile. Also numerous small knots on the small intestine, peritoneum, and omentum, as well as a considerable amount of ascites were observed. An uterine myoma was found as well. Histerectomy and ablation of both adnexa were performed. The therapy was continued by radiation but the patient died 5 months following the operation.
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