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

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Abstract

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.

Original languageEnglish
JournalTaiwanese Journal of Obstetrics and Gynecology
DOIs
Publication statusAccepted/In press - Jan 1 2018

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Krukenberg Tumor
Small Intestine
Adenocarcinoma
Ovary
Neoplasms
Digestive System
Gastroscopy
Colonoscopy
Pathology
Acids

Keywords

  • Adenocarcinoma
  • Immunohistochemical evaluation
  • Krukenberg tumor
  • Preoperative computed tomography
  • Small intestine

ASJC Scopus subject areas

  • Obstetrics and Gynaecology

Cite this

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title = "A rare Krukenberg tumor arising from a primary adenocarcinoma of the small intestine",
abstract = "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, Preoperative computed tomography, Small intestine",
author = "{An-Chieh Liu}, Angel and Chen, {Chi Huang} and Liu, {Wei Min} and Ching-Wen Chang",
year = "2018",
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journal = "Taiwanese Journal of Obstetrics and Gynecology",
issn = "1028-4559",
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TY - JOUR

T1 - A rare Krukenberg tumor arising from a primary adenocarcinoma of the small intestine

AU - An-Chieh Liu, Angel

AU - Chen, Chi Huang

AU - Liu, Wei Min

AU - Chang, Ching-Wen

PY - 2018/1/1

Y1 - 2018/1/1

N2 - 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.

AB - 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.

KW - Adenocarcinoma

KW - Immunohistochemical evaluation

KW - Krukenberg tumor

KW - Preoperative computed tomography

KW - Small intestine

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