Colorectal ovarian metastasis (Krukenberg tumor)

Case contributed by Dr Michael P Hartung

Presentation

Concern for obstruction.

Patient Data

Age: 65
Gender: Female

Large obstructive colorectal cancer with venous tumor invasion and enlarged perirectal nodes. Enlarged left common iliac node. Liver metastases. 

Complex multiloculated mass in right ovary. 

Rounded submucosal mass in anterior uterine fundus likely fibroid.

Pelvic floor insufficiency. 

Case Discussion

Pathology-proven metastasis to the right ovary highlights the importance of careful inspection of the ovaries when staging and restaging malignancy. The degree of irregular separations and soft tissue enhancement favors metastasis or synchronous ovarian malignant tumor over a benign cyst. 

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Case information

rID: 61860
Published: 21st Oct 2018
Last edited: 14th Aug 2019
Inclusion in quiz mode: Included

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