Krukenberg’s tumour (KT) is a metastatic ovarian malignancy
characterised by bilateral ovarian enlargement and a nodular pattern of
infiltration on radiology. KTs can be synchronous, where the metastasis is
discovered within 3 months of the diagnosis of the primary tumour, or
metachronous, where the metastasis is found after 3 months, frequently after
the completion of initial therapy. This case report discusses an incidental
diagnosis of Krukenberg’s Tumour (KT). A 48-year-old female was incidentally
diagnosed with a Krukenberg tumour, involving the entire uterus, uterine leiomyomas,
bilateral ovaries and fallopian tubes without any gross enlargement or cystic
change in the ovaries. The patient underwent surgery to alleviate the symptoms
associated with multiple uterine fibroids detected on ultrasound. She underwent
a total abdominal hysterectomy with removal of both the adnexa, along with
myomectomy. However, when the ovaries are not enlarged, and complaints of
abdominal discomfort or pain are attributable to a fibroid, the possibility of
a Krukenberg tumour is seldom considered. Under such circumstances,
histopathology examination serves as the only tool to clinch the diagnosis
because of its characteristic microscopic features. Recognition of KT is of
paramount importance, as it alters both the management approach and prognostic
outlook. Furthermore, it is also crucial to exclude mimics, especially tumours
with mucinous differentiation, using ancillary techniques like special stains,
immunohistochemistry and previous historical details for confirmation.
Author(s) Details
Kriti Chauhan
Metropolis Healthcare Ltd., India.
Aastha Sharma
Metropolis Lab Pvt. Ltd., India.
Gagandeep Singh
Dr. Singh Path Lab, Ropar, Punjab, India.
Please see the book here :- https://doi.org/10.9734/bpi/msup/v2/6598
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