A Case of Krukenberg Tumour with Severe Metastases | 96321

Journal of Research in Medical and Dental Science
eISSN No. 2347-2367 pISSN No. 2347-2545

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A Case of Krukenberg Tumour with Severe Metastases

Author(s): Nishi Chelwani, Shantanu Sawale, Shubhada Jajoo*


Krukenberg tumors that have a characteristics signet ring appearance of cell are secondary growth in the ovary, arising from a primary origin elsewhere most commonly being the gastrointestinal tract. These tumors are usually diagnosed when patients present with the complaints of abdominal or pelvic pain, bloating, ascites, or pain during sexual intercourse. It has a peculiar diagnosis that observes a typical pattern. The outcome of this tumour is not good because of its vigorous metastases by retrograde lymphatic spread and because of inadequate treatment ability. Various treatment strategies are documented like cytoreductive surgery (CRS), adjuvant chemotherapy but palliative chemotherapy has been most significance in our case The treatment options differ from case to case as there is no such clear protocol for therapy. In most of the cases primary origin of tumor is identified only in a rare group of cases who present with the krukenberg tumor of unknown primary origin. Hereby we report a rare case of krukenberg tumor with unknown primary origin presented with severe metastases. She presented in the outpatient department with the chief complaints of pain in the abdomen, nausea and loss of appetite. Only after thorough investigation workup it revealed krukenberg tumor along with severe metastases elsewhere. Still the primary origin of tumor was unknown making it a rare presentation. Unknown primary origin makes it difficult for planning out the further management as there are no clear-cut guidelines documented.

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