Tumor de Krukenberg secundario a un adenocarcinoma de pulmón

Yoldi, Luis Alfonso Sota; Vigil, Laura Vigil; Domínguez, Cristina Martín; Parente, B

doi:10.1016/j.arbres.2018.11.006

Cited by 1 publication

(2 citation statements)

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“…The therapeutic strategies in such cases are mainly decided according to the primary tumor; however, due to the metastatic character of Krukenberg lesions, the presence of ovarian metastases is usually considered as a sign of a systemic disease, which transforms the patient into a candidate for palliative systemic treatment. This pathological finding is usually associated with poor rates of long-term survival [5]. However, in our case, a right adnexectomy was performed as part of the diagnostic strategy and not with curative intent.…”

Section: Discussionmentioning

confidence: 83%

“…In less common situations, Krukenberg tumors originate from other primaries such as the breast, small intestine, and appendix [3]. For lung cancer ovarian metastases, data are even scarcer, with only a few cases being reported so far [4][5][6]. Most often, these cases are represented by pulmonary adenocarcinomas (in up to 45% of cases), and the exact mechanism of development is not well understood [6].…”

Section: Introductionmentioning

confidence: 99%

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Krukenberg Tumor in Association with Ureteral Stenosis Due to Peritoneal Carcinomatosis from Pulmonary Adenocarcinoma: A Case Report

Bălescu

Bejinariu²,

Slaniceanu³

et al. 2020

Medicina

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Krukenberg tumors from pulmonary adenocarcinoma represent an extremely rare situation; only a few cases have been reported. The aim of this paper is to report an unusual such case in which almost complete dysphagia and ureteral stenosis occurred. The 62-year-old patient was initially investigated for dysphagia and weight loss. Computed tomography showed the presence of a thoracic mass compressing the esophagus in association with a few suspect pulmonary and peritoneal nodules, one of them invading the right ureter. A biopsy was performed laparoscopically on the peritoneal nodules. The right adnexa presented an atypical aspect; right adnexectomy was also found. The histopathological and immunohistochemical studies confirmed that the primitive origin was pulmonary adenocarcinoma. Although both peritoneal carcinomatosis and ovarian metastases from pulmonary adenocarcinoma represent a very uncommon situation, this pathology should not be excluded, especially in cases presenting suspect pulmonary lesions.

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Section: Discussionmentioning

confidence: 83%