A rare case of Krukenberg tumor by gallbladder cancer

Antonio Pesce; Giovanni Li Destri; Francesca Flavia Amore; Gaetano Magro; Gaetano La Greca; Stefano Puleo

doi:10.1016/j.amsu.2019.09.014

A rare case of Krukenberg tumor by gallbladder cancer

Ann Med Surg (Lond). 2019 Oct 4:47:50-52. doi: 10.1016/j.amsu.2019.09.014. eCollection 2019 Nov.

Authors

Antonio Pesce¹, Giovanni Li Destri¹, Francesca Flavia Amore¹, Gaetano Magro¹, Gaetano La Greca¹, Stefano Puleo¹

Affiliation

¹ Department of Medical and Surgical Sciences and Advanced Technologies "G.F. Ingrassia", University of Catania, Italy.

Abstract

Introduction: Gallbladder cancer commonly spreads by direct extension to the liver and adjacent organs of the gastrointestinal tract. Ovarian metastases by biliary origin, though known, are a very uncommon finding.

Presentation of case: We report a rare metastatic localization by gallbladder cancer, Krukenberg tumor mimicking a primitive ovarian cancer. A comprehensive critical review was performed and suggested strategies were analyzed.

Discussion: The prognosis of ovarian metastastes by biliary origin is very poor with an overall survival estimated at around 6 months. The variable clinical presentation, radiology and serum markers make the appropriate histological diagnosis mandatory.

Conclusion: The presence of Krukenberg tumor should be considered in the work-up of gallbladder cancer.

Keywords: Case report; Gallbladder cancer; Krukenberg tumor; Metastatic localization; Ovarian mass; Uncommon finding.

Publication types

Case Reports