[ Tumeur de krukenberg : A propos d’un cas et revue de littérature ]
Volume 23, Issue 2, May 2016, Pages 254–258
Abdelkader Akharraz1, Moulay El Mehdi ElHassani2, Farid Kassidi3, Jaouad Kouach4, Driss Moussaoui5, and Mohammed Dehayni6
1 Service de Gynécologie et d’Obstétrique, Hôpital Militaire d’Instruction Mohamed V, Rabat, maroc
2 Department of Gynecology- Military Training Hospital Med V, Rabat, Morocco
3 Department of Gynecology-Obstetric, Military Training Hospital Med V, Rabat, Morocco
4 Faculté de Médecine et de Pharmacie, Université Mohamed V, Rabat, Morocco
5 Department of Gynecology-Obstetric, Military Training Hospital Med V, Faculty of Medicine and Pharmacy, Mohammed V University, Rabat, Morocco
6 Department of Gynecology-Obstetric, Military Training Hospital Med V, Faculty of Medicine and Pharmacy, Mohammed V University, Rabat, Morocco
Original language: French
Copyright © 2016 ISSR Journals. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Krukenberg's Tumors (TK) are defined as bilateral ovarian metastases from gastrointestinal cancer most often. They are rare and account 1 to 2% of ovarian tumors. We report a case of Krukenberg gastric original tumor in a female patient of 40 years old, G3P3, 3 living children, thyroidectomized with hormone replacement therapy, she was hospitalized for surgical exploration of two malignant abdominopelvic masses objectified in clinical examination and abdominopelvic ultrasound. Laparotomy had highlighted two ovarian tumors whose histology was in favor of ovarian metastases from carcinoma of digestive origin. Gastroesophageal Endoscopy showed a gastric adenocarcinoma with a signet-ring appearance of the pylorus and bulb gastric. Palliative chemotherapy was indicated. The patient died after four months. The treatment of this tumor remains palliative and is not codified. The progress of chemotherapy could improve the prognosis who is pejorative.
Author Keywords: Krukenberg’s tumor, gastric carcinoma, peritoneal carcinomatosis, gastroesophageal endoscopy.
Volume 23, Issue 2, May 2016, Pages 254–258
Abdelkader Akharraz1, Moulay El Mehdi ElHassani2, Farid Kassidi3, Jaouad Kouach4, Driss Moussaoui5, and Mohammed Dehayni6
1 Service de Gynécologie et d’Obstétrique, Hôpital Militaire d’Instruction Mohamed V, Rabat, maroc
2 Department of Gynecology- Military Training Hospital Med V, Rabat, Morocco
3 Department of Gynecology-Obstetric, Military Training Hospital Med V, Rabat, Morocco
4 Faculté de Médecine et de Pharmacie, Université Mohamed V, Rabat, Morocco
5 Department of Gynecology-Obstetric, Military Training Hospital Med V, Faculty of Medicine and Pharmacy, Mohammed V University, Rabat, Morocco
6 Department of Gynecology-Obstetric, Military Training Hospital Med V, Faculty of Medicine and Pharmacy, Mohammed V University, Rabat, Morocco
Original language: French
Copyright © 2016 ISSR Journals. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Abstract
Krukenberg's Tumors (TK) are defined as bilateral ovarian metastases from gastrointestinal cancer most often. They are rare and account 1 to 2% of ovarian tumors. We report a case of Krukenberg gastric original tumor in a female patient of 40 years old, G3P3, 3 living children, thyroidectomized with hormone replacement therapy, she was hospitalized for surgical exploration of two malignant abdominopelvic masses objectified in clinical examination and abdominopelvic ultrasound. Laparotomy had highlighted two ovarian tumors whose histology was in favor of ovarian metastases from carcinoma of digestive origin. Gastroesophageal Endoscopy showed a gastric adenocarcinoma with a signet-ring appearance of the pylorus and bulb gastric. Palliative chemotherapy was indicated. The patient died after four months. The treatment of this tumor remains palliative and is not codified. The progress of chemotherapy could improve the prognosis who is pejorative.
Author Keywords: Krukenberg’s tumor, gastric carcinoma, peritoneal carcinomatosis, gastroesophageal endoscopy.
Abstract: (french)
Les tumeurs de Krukenberg (TK) se définissent comme des métastases ovariennes bilatérales d’un cancer le plus souvent digestif. Elles sont rares et représentent 1 à 2 % des tumeurs ovariennes. Nous rapportons un cas de tumeur krukenberg d’origine gastrique chez une patiente, âgée de 40 ans, G3P3, 3 enfants vivants, thyroidectomisée sous traitement substitutif, était hospitalisée pour exploration chirurgicale de deux masses abdominopelviennes d’allure malignes objectivées à l’examen clinique et à l’échographie abdominopelvienne. La laparotomie avait mis en évidence deux tumeurs ovariennes dont l’étude histologique était en faveur de métastases ovariennes d’un carcinome d’origine digestive. La fibroscopie œsogastrique montrait un adénocarcinome gastrique en bague à chaton au dépend du pylore et le bulbe. Une chimiothérapie palliative était indiquée. La patiente décédait après quatre mois. Le traitement de cette tumeur demeure palliatif et n’est pas codifié. Des progrès de la chimiothérapie pourraient améliorer le pronostic de ces tumeurs qui reste sombre.
Author Keywords: tumeurs de krukenberg, cancer de l’estomac, carcinose péritonéale, fibroscopie oesogastrique.
How to Cite this Article
Abdelkader Akharraz, Moulay El Mehdi ElHassani, Farid Kassidi, Jaouad Kouach, Driss Moussaoui, and Mohammed Dehayni, “krukenberg’s tumor: about a case and review of literature,” International Journal of Innovation and Scientific Research, vol. 23, no. 2, pp. 254–258, May 2016.
