Bilateral Krukenberg ovarian tumours complicated by pregnancy in an antiguan woman of African ethnicity

Raghunandan, G; Martin, Trevor

doi:10.1590/s0043-31442005000500017

Cited by 2 publications

(1 citation statement)

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“…1,4,[6][7][8][9][10][11][12][13] Although sonography represents the most frequently used diagnostic approach during pregnancy, being also considered the key modality in evaluation of pelvic and abdominal masses, in most published cases, the sonographic features of ovarian masses did not lead to the suspicion of a metastatic tumor, and the diagnosis of a KT was made only on laparotomy or definitive pathologic examination. [7][8][9][10]13 Preoperative diagnosis of a KT secondary to gastric cancer occurring during pregnancy is challenging because the gastric symptoms associated with childbearing can mask the presence of a tumor in the stomach. We are aware of only 1 case report in which the diagnosis of a KT from gastric cancer anticipated surgery, 4 and in that case, this was most likely possible because of the patient's serious gastric symptoms.…”

Section: Discussionmentioning

confidence: 99%

Color Doppler Sonographic Features of a Krukenberg Tumor in Pregnancy

Testa¹,

Licameli²,

Legge³

et al. 2009

Journal of Ultrasound in Medicine

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Krukenberg tumor (KT), defined as an adenocarcinoma that metastasizes to the ovary from different primary tumor sites, 1 has an extremely poor prognosis, with a 5-year survival rate ranging from 12% to 23.4%. 2,3 Gastric cancer has been reported as the most frequent primary source responsible for approximately 50% of KTs. 3 A KT from primary gastric carcinoma very rarely complicates pregnancy, and its early diagnosis is often difficult because the persistent gastrointestinal symptoms mimic the nausea and vomiting of pregnancy and can mask the presence of a gastric mass. To our knowledge, the color Doppler sonographic appearance of a KT in pregnancy has been previously described in only 1 case. 4 Here we report a case of a KT secondary to gastric carcinoma in a pregnant woman with only pelvic pain and no gastrointestinal symptoms. The prenatal diagnosis was made at 25 weeks' gestation with color Doppler sonography.A 38-year-old woman, gravida 1, at 25 weeks' gestation was referred to the Department of Obstetrics and Gynecology at Catholic University of Rome because of pelvic pain. Her family history was negative for malignancy, and she had no prior medical or gynecologic illnesses. She had no symptoms of nausea, vomiting, weight loss, or urinary tract difficulties.The patient underwent transabdominal and transvaginal sonography (Voluson I; GE Healthcare, Milwaukee, WI) showing an encapsulated ovoid solid ovarian mass (165 × 87 × 90 mm) with regular margins completely replacing the left adnexa behind the uterus in the Douglas pouch. The right ovary was not evaluable, and no ascites was documented.

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