Krukenberg Tumor Presentation of Recurrent Gallbladder Cancer After a Decade


Tuzcu B., SÜTCÜOĞLU O., KOLAY BAYRAM E., Erdem O., YAZICI O.

JOURNAL OF GASTROINTESTINAL CANCER, 2021 (ESCI) identifier identifier identifier

  • Publication Type: Article / Article
  • Publication Date: 2021
  • Doi Number: 10.1007/s12029-021-00761-4
  • Journal Name: JOURNAL OF GASTROINTESTINAL CANCER
  • Journal Indexes: Emerging Sources Citation Index (ESCI), Scopus, EMBASE, MEDLINE
  • Keywords: Krukenberg tumor, Gallbladder, Metastasis, Ovary cancer, Malignancy
  • Gazi University Affiliated: Yes

Abstract

Background Krukenberg tumors are among rare cases of metastatic ovary cancers. They are presented as a solid mass which generally has bilateral and sometimes cystic components and is also known through symptoms related to the mass effect and/or hormonal imbalance. However, they may present findings before the primary tumor or remain asymptomatic for a long time. Case Report We presented a patient, who was diagnosed with gallbladder cancer nine years ago and whose adjuvant treatment was completed, applied to the outpatient clinic with the complaint of vaginal bleeding. Surgery was recommended to the patient and the patient was diagnosed with metastatic signet ring cell gallbladder cancer. The patient was started on gemcitabine-capecitabine treatment after surgery. Conclusion The case is important both due to the rareness of metastasis of gall bladder cancer on the ovaries and also the detection of metastasis following the nine-year recurrence-free period. This case shows that routine controls including a careful gynecological examination in a patient primarily detected to have gastrointestinal malignity are important for recognizing late metastases.