THE KRUKENBERG TUMOR ASSOCIATED WITH OBSTRUCTIVE CHOLESTATIC SYNDROME: CASE REPORT
DOI:
https://doi.org/10.47820/recima21.v2i8.637Keywords:
The Krukenberg Tumor, Ovarian neoplasms, Jaundice syndrome obstructiveAbstract
Introduction: The Krukenberg Tumor (TK) is a rare ovarian adenocarcinoma, usually bilateral and metastatic nature corresponding to 1 to 2% of all ovarian neoplasms. The most common primary site is the gastrointestinal tract. The ability of tumors to metastasize predominantly to specific secondary sites is referred to as metastatic organotropism. Objective: This paper aims to report a rare form of TK that due to its high rate of metastasis associated with nonspecific symptoms, metastatic sites are discovered before the primary site. Thus, the TK has a poor prognosis, culminating inan unfavorable clinical outcome. Report: A 29-year-old patient in the late puerperium, with TK diagnosed by histopathology after salpingo-oophorectomy. After exams, advanced primary gastric tumor and jaundice syndrome due to obstructive metastasis in the biliary tract were detected. She underwent an internal-external drainage of the biliary tract, but due to total obstruction of the internal passage, only an external drain was used. Associated with palliative chemotherapy, clinical and laboratory improvement of jaundice was observed. In palliative outpatient follow-up. Conclusion: This report is justified to reinforce the importance of knowledge of TK that although rare and with low survival rates, there are measures that can be made to assist in the quality of life of these patients.
Downloads
References
Albergaria RMR, Alvim JP, Salles LO, Guerra MJC, Maia LMO, Queiroz AT. Tumor de Krukenberg metastático sem diagnóstico prévio de tumor primário: Relato de caso. Revista de Saúde. 2018 jul/dez;09(2):31-36. DOI: https://doi.org/10.21727/rs.v9i2.1427
Lionetti R, De Luca M, Travaglino A, Raffone A, Saccone G, Di Cicco A, Insabato L, Mascolo M, D’Armiento M, Zullo F, Corcione F. Prognostic factors in Krukenberg tumor. Arch Gynecol Obstet. 2019;300:1155–1165. DOI: https://doi.org/10.1007/s00404-019-05301-x
Lionetti R, De Luca M, Travaglino A. et al. Treatments and overall survival in patients with Krukenberg tumor. Arch Gynecol Obstet. 2019;300:15–23. DOI: https://doi.org/10.1007/s00404-019-05167-z
Kubeček O, Laco J, Špaček J. et al. The pathogenesis, diagnosis, and management of metastatic tumors to the ovary: a comprehensive review. Clin Exp Metastasis. 2017;34:295–307. DOI: https://doi.org/10.1007/s10585-017-9856-8
Neto FCR, Costa RE, Teixeira JPCR, Costa CR, Vieira ILS, Cintra TR, Gomes DAGS. Mulher de 27 anos com Tumor de Krukenberg decorrente de adenocarcinoma de cólon. Rev Med Saude Brasilia. 2018;7(1):38-46. URL: https://portalrevistas.ucb.br/index.php/rmsbr/article/view/8646/5722
Andrade Zica ALA, Campos APM, Ribeiro LG, Roriz LN, Gonçalves VC, Oliveira RR. Tumor de Krukenberg: perfil clínico-epidemiológico e de risco. RESU – Revista Educação em Saúde. 2019;7(supl. 2). URL: http://periodicos.unievangelica.edu.br/index.php/educacaoemsaude/article/view/4088
Downloads
Published
Issue
Section
Categories
License
Copyright (c) 2021 RECIMA21 - Revista Científica Multidisciplinar - ISSN 2675-6218
This work is licensed under a Creative Commons Attribution 4.0 International License.
Os direitos autorais dos artigos/resenhas/TCCs publicados pertecem à revista RECIMA21, e seguem o padrão Creative Commons (CC BY 4.0), permitindo a cópia ou reprodução, desde que cite a fonte e respeite os direitos dos autores e contenham menção aos mesmos nos créditos. Toda e qualquer obra publicada na revista, seu conteúdo é de responsabilidade dos autores, cabendo a RECIMA21 apenas ser o veículo de divulgação, seguindo os padrões nacionais e internacionais de publicação.
