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A rare case of Krukenberg tumor by gallbladder cancer
Antonio Pesce1, Giovanni Li Destri1, Francesca Flavia Amore1
1Department of Medical and Surgical Sciences and Advanced Technologies "G.F. Ingrassia", University of Catania, Italy.
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.
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