IMR Press / EJGO / Volume 32 / Issue 3 / pii/1630980240111-528889569

European Journal of Gynaecological Oncology (EJGO) is published by IMR Press from Volume 40 Issue 1 (2019). Previous articles were published by another publisher on a subscription basis, and they are hosted by IMR Press on imrpress.com as a courtesy and upon agreement with S.O.G.

Case Report
Krukenberg tumor of gastric origin in pregnancy with dismal outcome
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1 Institute of Gynecology and Obstetrics, University of Belgrade, Clinical Centre of Serbia, Belgrade (Serbia)
Eur. J. Gynaecol. Oncol. 2011, 32(3), 356–358;
Published: 10 June 2011
Abstract

Krukenberg tumors are mostly found as metastatic signet-ring cell adenomucinous carcinomas in young, premenopausal women. They are bilateral in 80% of the cases, and thus can be expected in pregnancy. A 31-year-old female was diagnosed by explorative laparotomy at 27 weeks of gestation with a Krukenberg tumor due to bilateral adnexal masses and a large amount of ascites. At surgery cesarean section with total abdominal hysterectomy, bilateral salpingo-oophorectomy, total omentectomy and pelvic lymphadenectomy was performed. The neonate died 24 hours later due to prematurity and respiratory distress syndrome. The primary site of the cancer was detected metachronously two months after surgery and postoperative chemotherapy, as stomach adenomucinous carcinoma. In spite of surgery and postoperative multiagent chemotherapy, the patient died six months from the diagnosis of Krukenberg.
Keywords
Krukenberg tumor
Pregnancy
Therapeutic approaches
Prognosis
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