Abstract

JURADO-ARCINIEGAS, ISMAEL ANTONIO NICOLÁS  and  CADENA-ESPADA, JAIME DAVID. A Krukenberg tumor in a young patient. Acta Med Colomb [online]. 2023, vol.48, n.2, e10.  Epub Apr 07, 2024. ISSN 0120-2448.  https://doi.org/10.36104/amc.2023.2736.

A Krukenberg tumor (KT) is a rare secondary ovarian tumor which occurs in approximately 1-2% of all ovarian tumors. In most cases, it is secondary to a primary gastrointestinal tract tumor, especially of the stomach, colon or rectum 1. The mean age of women diagnosed with KT ranges from 40 to 46 years, while 35 to 45% are under 40 2. In this report, we describe the clinical case of a 23-year-old woman who consulted due to epigastric pain, adynamia, decreased appetite, and vaginal bleeding. She underwent an abdominal-pelvic CT which reported findings compatible with an anthro-pyloric cancer with signs of angiogenesis and adenopathies in the greater and lesser curvature, with a metastatic appearance, as well as solid material hanging from the pelvic visceral peritoneum, in close contact with the ovaries. Subsequently, a gastric endoscopy with biopsy was performed which reported gastric adenocarcinoma with signet ring cells, as well as peritoneal and ovarian involvement and positive CA25-5 and CA19-9 markers. She was given palliative chemotherapy, but developed a constitutional syndrome requiring treatment by internal medicine to improve her condition enough to continue chemotherapy. After approximately one month of a sluggish course, the patient died on March 15, 2021, due to bradycardia and hypotension. (Acta Med Colomb 2022; 48. DOI:https://doi.org/10.36104/amc.2023.2736).

Keywords : Krukenberg tumor; oncology; ovarian cancer; metastasis; signet ring cells.

        · abstract in Spanish     · text in English | Spanish     · English ( pdf ) | Spanish ( pdf )