Colon mucoproducing adenocarcinoma with stomach infiltration and ovarian metastases (Krukenbergs tumor)

Orestes Noel Mederos Curbelo; Ana Barrera López; Juan Antonio Castellanos González; Alexis Cantero Ronquillo

2011, Number 4

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Revista Cubana de Cirugía 2011; 50 (4)

Colon mucoproducing adenocarcinoma with stomach infiltration and ovarian metastases (Krukenberg's tumor)

Mederos CON, Barrera LA, Castellanos GJA, Cantero RA

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Language: Spanish
References: 10
Page: 576-583
PDF size: 256.06 Kb.

ABSTRACT

This is the case of a woman aged 29 operated on of emergency due to a tumor involving gastric body and transverse colon with gastric perforation. A subtotal gastrectomy with block transverse colectomy including the greater omentum was carried out. The histological diagnosis was a mucoproducing papillary tubular adenocarcinoma of colonic origin infiltrating to serosa and gastric wall. An adjuvant treatment was applied with poly-chemotherapy. Ten months later appears a hypogastric tumor which at vaginal manual examination corresponding to genital organs, clinical suspicion confirmed by abdominal ultrasound and computerized axial tomography. The transoperative findings were bulky tumors of both ovaries and another tumor involving the rectosigmoid joint. A radical hysterectomy with bilateral oophorectomy and sigmoidectomy was carried out with resection of proximal rectal portion with type Hartman closure. The final histological diagnosis was a metastasis in uterine and intestinal serosa and in both ovaries a mucoproducing adenocarcinoma, previous papillary tubule was also diagnosed (Krukenberg's tumor). Treatment was applied using adjuvant poly-chemotherapy.

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