Krukenberg Tumor with Skin Metastasis: A Rare Entity.
Monika Jindal, Sameer Singh Faujdar, Priya Mehrishi et al.
✦ AI-curated · Sources linked
Case in brief
A 42-year-old Nepali woman with a history of total gastrectomy for gastric carcinoma presented with prolonged abnormal uterine bleeding and several months of lower abdominal pain. She underwent staging laparotomy, hysterectomy with bilateral salpingo-oophorectomy, peritoneal washings, and peritoneal biopsy. Histopathology of the surgical specimen showed a Krukenberg tumor. Cutaneous lesions noted on postoperative day 7 were confirmed by biopsy as metastatic. Chemotherapy was advised at a regional cancer center.
What made this case unusual
Biopsy-confirmed cutaneous metastases were identified shortly after surgery in a patient whose ovarian tumor was diagnosed as a Krukenberg tumor following prior gastric carcinoma.
Diagnostic / clinical pearl
In a patient with prior gastric carcinoma and new gynecologic symptoms, ovarian involvement may represent a Krukenberg tumor; newly observed skin lesions also warrant assessment for metastasis.