Dyspnoea and the ovaries: a rare presentation of Krukenberg tumour
| Autor: | Karim El-Kersh, Wasiq Faraz Rawasia, Rafael Perez, Udit Chaddha |
|---|---|
| Rok vydání: | 2013 |
| Předmět: |
medicine.medical_specialty
Pleural effusion medicine.medical_treatment Colonoscopy Krukenberg tumor Article Krukenberg Tumor Biopsy medicine Carcinoma Humans Ultrasonography Ovarian Neoplasms medicine.diagnostic_test business.industry Ovary Cancer General Medicine Middle Aged medicine.disease digestive system diseases Surgery Dyspnea Adenocarcinoma Female Tomography X-Ray Computed business Pleurodesis |
| Zdroj: | Case Reports. 2013:bcr2012008302-bcr2012008302 |
| ISSN: | 1757-790X |
| Popis: | Krukenberg tumour is a metastatic signet-ring adenocarcinoma of the ovary, usually with a gastrointestinal primary detected metachronously or synchronously. We present here a case of a 48 year-old woman who presented with a prolonged history of dyspnoea on exertion. Workup had revealed a pelvic mass. Thoracocentesis of her pleural effusion, with cytology, and pathology reports from her total abdominal hysterectomy with bilateral salpingo-oophorectomy revealed a carcinoma with signet-ring cells. Immunostains were positive for CDX2, CK7 and CK20, which was highly suggestive of a gastric primary. Colonoscopy was negative, and an oesophagogastroduodenoscopy revealed a few small crater ulcers, the biopsy of which was negative for cancer. A right-sided pleurodesis was performed for the unremitting malignant effusion, and a PleurX catheter was placed in her left pleural space. She was discharged home with a very poor prognosis. |
| Databáze: | OpenAIRE |
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