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[Krukenberg tumor: 9 cases report]
I Benâaboud1, M Ghazli, M Kerroumi
1Service de Gynécologie Obstétrique B, Maternité Lalla Meryem, CHU Ibn Rochd, Casablanca, Maroc. ilham.benaaboud@caramail.com
Introduction:
The Krukenberg tumor is a mysterious ovarian metastasis of digestive tract cancer accounting from 1 to 2% of all ovarian tumors.
Patients:
and method. We report a series of 9 patients with Krukenberg tumors treated at the Casablanca University Hospital between 1982 and 1999.
Results:
Mean age of the patients was 44 years. Pelvic signs predominated over digestive signs. Bilateral forms were more frequent. Surgical or medical treatment were given. The histological diagnosis is based on the presence of signet-ring cells associated with a pseudosarcoma stroma. The primary tumor was found in 50% of the cases. Prognosis is always unfavorable. All authors underline the gloomy prognosis of this tumor with fatal outcome in one year. Early diagnosis and complete resection is the only hope.
Conclusion:
Krukenberg tumor is an ovarian metastasis of digestive tract cancer. The only hope for improved prognosis is to search for ovarian metastasis in all cases and prophylactic ovariectomy in women over 40 with digestive tract cancer.