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Krukenberg tumor

Case contributed by Bruno Di Muzio
Diagnosis almost certain

Presentation

Partial colectomy one year ago. Presents with one week of abdominal pain.

Patient Data

Age: 40 years
Gender: Female

CT Abdomen and pelvis

ct

Large heterogeneous pelvic mass associated with a small amount of free intracavitary liquid. It's a complex cystic mass with features of regular outlines and seems to be in continuity with the right adnexal region.

Case Discussion

This patient underwent right colectomy one year ago (colonic adenocarcinoma). Remains in oncologic treatment.

The CT showed a complex cystic mass that seems to be related to ovary neoplasms. Surgery was performed to remove the tumor. The histopathological diagnosis confirms ovarian/adnexal metastasis of colon adenocarcinoma.

A Krukenberg tumor refers to a subtype of metastatic tumor to the ovary. The colon and stomach are the most common primary tumors to result in ovarian metastases, followed by the breast, lung, and contralateral ovary.

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