Krukenberg Tumor: Case Report of Metastase Ovarian Simulanting Pregnancy
Paulino I, Es-Sebbani C, Kessi E, Rabileh YM, Omar A, Vladimir A, Angelo JB and Ramdani HP
Published on: 2023-06-26
Abstract
German physicist freiddrich ernst krukenberg (1871-1946), was the first to describe five cases of krukenberg tumor in 1896. (1) (4). It is a rare ovarian tumor, accounting for 1-2% of all malignant ovarian tumor. Usually, blateral with a doublé cystic and tissue component, the fheshy portion is larger for metastases of gastric and ilio-biliary origin and cystic for primiry colonic. The TDM abdomino-pelvic allow the diagnosis of a tumeur of krukenberg. We describe a case of a 29-year-old woman, multiparons, operated 4 years ago for a colon tumor, presenting with ovarian lesions.
Keywords
Krukenberg Tumor; Surveillance for Young Women: MRIClinical Reporting
Krukenberg tumor are defined as ovarian metastases of cancer, most digestive. Krukenberg’s tumor mainly affects women between 30 and 50 years old, saying in childbearing age. It is characterized by the presence of kitten-ring cells filled with mucus and a pseudo sarcomatous proliferation of the ovariaen stroma. Their evolution is rapidly fatal the disease is initially manifested by lumbar pain with an alteration of the bone structures on the CT-scan an accelerated turnover on the bone scintigraphy. Suggesting in the first place an anomaly of bone metabolisme or a tumoral pathology, however less probable given the young age and the good general condition of the patient (4).
This is a 29-years old patient with two large mixed masses (cystic and tissue), mostly cystic, the pelvic site of which is related to krukenberg’s tumor.
The objective of this article is to show rapidly evoluing nature of krukenberg’s tumor and to make practitioners aware of the therapeutic difficulties of this tumor in order to improve its prognosis.
Krukenberg’s tumor is a metastatic tumor of a primary cancer often digestive (6). But not every ovarian mass should be considered krukenberg disease.
According to the who, the formal diagnosis of krukenberg’s tumor is based on several criteria: the major criteria are (stromal invasion of the tumor; the presence of neo-plastic cell in a signet ring producing mucin; a sarcomatoid stromal ovarian proliferation, et les criteres minor are (bilateral iteration of tumor; double component and peritoneal effusion). Krukenberg syndrome must be known in order to ensure adequate fallow-up in all patients treated for digestive cancer
Figure 1: Two bulky mixed, predominantly cystic bodies of abstoman cyntially, hyposignal T1, hypersignal T2, tissue portion tionary interface T2, contain fireplaces and leaflets of the ugly abunda square.` `