Krukenberg tumor: prognosis and treatment

Tumor de Krukenberg: pronóstico y tratamiento

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Cindy Lorena Beltrán Endo
José Blanco Pérez
Diego Fernando Bolívar
Héctor Adolfo Polanía
Abstract

Krukenberg tumor is a metastatic mucinous tumor of ovary that represents 1-2% from all tumors of this organ. It has a poor prognosis and rapid evolution. Up to 40% of cases it is unlikely to determine the tumor of origin. 


This is a case of a patient having a mass and abnormal uterine hemorrhage diagnosis. The diagnosis approach was controversial: abdominopelvic Computed Axial Tomography (CAT) suggests that mass is of colonic origin, but colonoscopy is negative; that is why patient's diagnosis is reevaluated through a transvaginal CAT scan that shows an ovary tumor. Subsequently, endoscopy of upper digestive tract using biopsy indicates Borman IV diffuse gastric cancer, having ring cells; due to the results, the patient has a right salpingooophorectomy using biopsy which shows ring cells in ovarian stroma confirming the diagnosis. 


These patients' survival is of 12,1 months without surgical intervention; depending also on the neoplasia primary origin. Gastric cancer as a tumor of origin generates a 13-month mean survival and even decreases in case of an advanced cancer which is in contrast to colon-rectal metastasis which shows a 29,6-month rise in survival. It is recommendable to carry out early detection of gastric cancer using endoscopic techniques given that Krukenberg tumor, up to 76% of primary tumors, represent gastric cancer.

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Author Biographies / See

Cindy Lorena Beltrán Endo, Universidad Surcolombiana

Estudiantes programa de medicina, Facultad de Salud

José Blanco Pérez, Universidad Surcolombiana

Estudiantes programa de medicina, Facultad de Salud

Diego Fernando Bolívar, Universidad Sucolombiana

Estudiantes programa de medicina, Facultad de Salud

Héctor Adolfo Polanía, Universidad Surcolombiana, Neiva, Colombia.

Cirujano Endoscopista, Departamento de Cirugía, Hospital Universitario de Neiva, Profesor Asistente, Departamento de Ciencias Clínicas.
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