A rare Krukenberg tumor arising from a primary adenocarcinoma of the small intestine

Objective: A Krukenberg tumor is a malignancy in the ovary that metastasizes from a primary site. Here, we report a very rare case of bilateral Krukenberg tumors of the ovaries arising from a primary adenocarcinoma of the small intestine in a 53-year-old Taiwanese woman. Case report: The patient pre...

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Main Authors:	Angel An-Chieh Liu, Chi-Huang Chen, Wei-Min Liu, Ching-Wen Chang
Format:	Article
Language:	English
Published:	Elsevier 2018-04-01
Series:	Taiwanese Journal of Obstetrics & Gynecology
Online Access:	http://www.sciencedirect.com/science/article/pii/S1028455918300433

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spelling	doaj-e494d5a23e02485fb4b89cfd65c726d42020-11-24T21:10:52ZengElsevierTaiwanese Journal of Obstetrics & Gynecology1028-45592018-04-01572319322A rare Krukenberg tumor arising from a primary adenocarcinoma of the small intestineAngel An-Chieh Liu0Chi-Huang Chen1Wei-Min Liu2Ching-Wen Chang3Department of Obstetrics and Gynecology, Taipei Medical University, Taipei, TaiwanDepartment of Obstetrics and Gynecology, Taipei Medical University, Taipei, Taiwan; Department of Obstetrics and Gynecology, School of Medicine, College of Medicine, Taipei Medical University, Taipei, TaiwanDepartment of Obstetrics and Gynecology, Taipei Medical University, Taipei, Taiwan; Department of Obstetrics and Gynecology, School of Medicine, College of Medicine, Taipei Medical University, Taipei, TaiwanDepartment of Obstetrics and Gynecology, Taipei Medical University, Taipei, Taiwan; Department of Obstetrics and Gynecology, School of Medicine, College of Medicine, Taipei Medical University, Taipei, Taiwan; Corresponding author. Taipei Medical University Hospital, No.250, Wusing St., Sinyi District, Taipei City 110, Taiwan.Objective: A Krukenberg tumor is a malignancy in the ovary that metastasizes from a primary site. Here, we report a very rare case of bilateral Krukenberg tumors of the ovaries arising from a primary adenocarcinoma of the small intestine in a 53-year-old Taiwanese woman. Case report: The patient presented with a 3-month history of abdominal distension and acid regurgitation. Gastroscopy and colonoscopy findings were negative. According to the preoperative image, we highly suspected that the small bowel mass was the primary tumor with metastatic tumors to bilateral ovarian masses. The diagnosis was made immediately after operation. Results from pathology and immunohistochemical report confirmed our diagnosis. Conclusion: The primary lesion of a Krukenberg tumor is generally too small to be detected. Thus, careful radiographic and endoscopic exploration of the digestive system is necessary to detect the primary tumor. Immunohistochemical evaluation is also useful for determining the primary site of the adenocarcinoma. Keywords: Adenocarcinoma, Immunohistochemical evaluation, Krukenberg tumor, Small intestine, Preoperative computed tomographyhttp://www.sciencedirect.com/science/article/pii/S1028455918300433
collection	DOAJ
language	English
format	Article
sources	DOAJ
author	Angel An-Chieh Liu Chi-Huang Chen Wei-Min Liu Ching-Wen Chang
spellingShingle	Angel An-Chieh Liu Chi-Huang Chen Wei-Min Liu Ching-Wen Chang A rare Krukenberg tumor arising from a primary adenocarcinoma of the small intestine Taiwanese Journal of Obstetrics & Gynecology
author_facet	Angel An-Chieh Liu Chi-Huang Chen Wei-Min Liu Ching-Wen Chang
author_sort	Angel An-Chieh Liu
title	A rare Krukenberg tumor arising from a primary adenocarcinoma of the small intestine
title_short	A rare Krukenberg tumor arising from a primary adenocarcinoma of the small intestine
title_full	A rare Krukenberg tumor arising from a primary adenocarcinoma of the small intestine
title_fullStr	A rare Krukenberg tumor arising from a primary adenocarcinoma of the small intestine
title_full_unstemmed	A rare Krukenberg tumor arising from a primary adenocarcinoma of the small intestine
title_sort	rare krukenberg tumor arising from a primary adenocarcinoma of the small intestine
publisher	Elsevier
series	Taiwanese Journal of Obstetrics & Gynecology
issn	1028-4559
publishDate	2018-04-01
description	Objective: A Krukenberg tumor is a malignancy in the ovary that metastasizes from a primary site. Here, we report a very rare case of bilateral Krukenberg tumors of the ovaries arising from a primary adenocarcinoma of the small intestine in a 53-year-old Taiwanese woman. Case report: The patient presented with a 3-month history of abdominal distension and acid regurgitation. Gastroscopy and colonoscopy findings were negative. According to the preoperative image, we highly suspected that the small bowel mass was the primary tumor with metastatic tumors to bilateral ovarian masses. The diagnosis was made immediately after operation. Results from pathology and immunohistochemical report confirmed our diagnosis. Conclusion: The primary lesion of a Krukenberg tumor is generally too small to be detected. Thus, careful radiographic and endoscopic exploration of the digestive system is necessary to detect the primary tumor. Immunohistochemical evaluation is also useful for determining the primary site of the adenocarcinoma. Keywords: Adenocarcinoma, Immunohistochemical evaluation, Krukenberg tumor, Small intestine, Preoperative computed tomography
url	http://www.sciencedirect.com/science/article/pii/S1028455918300433
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A rare Krukenberg tumor arising from a primary adenocarcinoma of the small intestine

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