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Title: The role of surgical excision for the Krukenberg tumour: A case report.
Authors: Ong, Eugene
Other Authors: Lam, David
Keywords: Krukenberg Tumour
Colorectal Cancer
Cytoreductive Surgery
Carcinomatosis Peritoneii
Peritoneal Metastatic Disease
Intraperitoneal Chemotherapy
Metastatic Colorectal Cancer
Metachronous Right Ovarian KT
Contralateral Ovary
Transcoloemic Dissemination
Ovarian Metastasis
Clinical Features
Symptom Control
Survival Benefit
General Surgery and Gastroenterology Clinical Institute, Epworth HealthCare, Victoria, Australia
Issue Date: Jul-2017
Publisher: Elsevier
Citation: Int J Surg Case Rep. 2017 Jul 25;38:185-188
Abstract: INTRODUCTION: Krukenberg tumour (KT), which represents carcinoma in the ovary, is an uncommon manifestation of metastatic colorectal cancer. It is associated with poor prognosis and a high incidence of peritoneal metastatic disease. PRESENTATION OF CASE: The authors present a case of a 51-year-old female who had a symptomatic, metachronous right ovarian KT diagnosed 12 months after her initial resection. Surgery was performed to excise the 23cm tumour as well as the contralateral ovary and isolated peritoneal disease, with an R0 resection achieved. DISCUSSION: KT from colorectal origin behave differently to non-ovarian colorectal metastases, with features suggestive of transcoloemic dissemination. Surgical removal of isolated ovarian metastasis without peritoneal involvement is associated with improved outcomes. Treatment with cytoreductive surgery and heated intraperitoneal chemotherapy offers promise for patients with KT and concominant peritoneal involvement. CONCLUSION: This case is illustrative of the clinical features of KT including its chemo-resistance and concomitant carcinomatosis peritoneii. Cytoreductive surgery for KT provides symptom control and confers survival benefit in selected patients.
DOI: 10.1016/j.ijscr.2017.07.046
PubMed URL:
ISSN: 2210-2612
Journal Title: International Journal of Surgery Case Reports
Type: Journal Article
Affiliated Organisations: Department of Colorectal Surgery, St Vincent's Hospital Melbourne, 41 Victoria Street, Fitzroy, VIC 3065, Australia.
Type of Clinical Study or Trial: Case Reports
Appears in Collections:Cancer Services
General Surgery and Gastroenterology

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