Management of Krukenberg tumors: an 11-year experience and review of the literature

McGill, Frances; Ritter, Diane B.; Rickard, Carrie; Kaleya, Ronald; Wadler, Scott; Greston, Wilma Markus

doi:10.1016/s1068-607x(98)00047-x

Cited by 27 publications

(27 citation statements)

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“…However, selection of the patients who benefit most from surgery is a problem. Prior studies have suggested that complete resection of metachronous ovarian metastasis of gastric origin [10,13,21] in the absence of other distant metastasis or from a colorectal site [24] may significantly improve survival. In addition, more recent studies showed a benefit from aggressive surgery for metastatic tumors to the ovary from colorectal cancer [24][25][26][27][28].…”

Section: Discussionmentioning

confidence: 99%

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The role of cytoreductive surgery for non-genital tract metastatic tumors to the ovaries

Kim

et al. 2010

European Journal of Obstetrics & Gynecology and Reproductiv

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Section: Discussionmentioning

confidence: 99%

“…According to McGill et al [13] and Young and Devita [14], surgery and chemotherapy had a survival benefit. By contrast, there was no survival benefit reported by Mrad et al [15] and Savey et al [16].…”

Section: Introductionmentioning

confidence: 99%

The role of cytoreductive surgery for non-genital tract metastatic tumors to the ovaries

Kim

et al. 2010

European Journal of Obstetrics & Gynecology and Reproductiv

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“…McGill et al re por ted only seven cases of Krukenberg tumor among 1016 cases. 11 The ave ra ge sur vival of the se seven pa ti ents was 12.3 months and one pa ti ent who had a se con dary de bul king and che mot he rapy had the lon gest sur vi val in this study (26 months). They sug ges ted proph ylac tic oopho rec tomy du ring co lon can cer sur gery, even if the re were no signs of ova ri an me tas ta ses.…”

Section: 2mentioning

confidence: 69%

Rupture of Krukenberg Tumor: Case Report of an Uncommon Entity

Kavlakoğlu¹,

Pekcici²,

Akküçük³

et al. 2010

Turkiye Klinikleri J Med Sci

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etastatic ovarian tumors are an important group of ovarian neoplasms. Gastric, colorectal, appendix, breast, biliary tract, gallbladder, pancreas and bladder tumors can make their metastases to the ovaries, and they are called as Krukenberg tumors. The metastatic ovarian tumors constitute 3 to 8% of all and 10 to 30% of malignant ovarian tumors and metastasis of neoplasms arising from intestines occur mostly direct spreading. Ruptures of ovarian tumors are one of the significant etiological factors for women who regards with acute abdominal pain. However, Turkiye Klinikleri J Med Sci 2010;30(5) 1707Rupture of Krukenberg Tumor: Case Report of an Uncommon Entity A AB BS S T TR RA AC CT T Kru ken berg tu mors are me tas ta ses of gas tro in tes ti nal and blad der tu mors to the ovari es. Kru ken berg tu mors are fre qu ently di ag no sed as hu ge ova ri an tu mors. In some cases, they were identified in early stage and curative operation could be performed. We re port a ca se of a 43-ye arold wo man in ves ti ga ted for acu te ab do mi nal pa in and found to have a rup tu red Kru ken berg tu mor from co lon can cer. In physi cal exa mi na ti on se ve re ab do mi nal pa in, cons ti pa ti on and signs of pe rito ni tis we re se en. La pa ro tomy and ab do mi nal exp lo ra ti on was per for med. Ruptured Krukenberg tumor, left colonic tumor and liver metastasis were found at the time of operation. Left he mi colec tomy, right salp hin go-oopho rec tomy and li ver bi opsy we re per for med. Pos to pe ra ti ve co ur se was une vent ful, ap prop ri a te che mot he rapy re gi men was ad ded to tre at ment. Rup tu res of ova ri an cysts are one of the sig ni fi cant eti o lo gi cal fac tors for wo men with acu te ab do mi nal pa in. Ho we ver, Kruken berg tu mor rup tu re re la ted to co lon can cer me tas ta ses is very ra re. K Ke ey y W Wo or rd ds s: : Kru ken berg tu mor; co lo nic ne op lasms Ö ÖZ ZE ET T Kru ken berg tü mö rü gas tro in tes ti nal sis tem den over le re me tas taz so nu cu ge li şir. Kru ken berg tü mör le ri sık lık la dev over tü mör le ri ola rak ta nı alır lar. Erken tanı alan bazı olgularda küratif ameliyat uygulanabilir. Bu olgu sunumunda, kolorektal kanser over metastazı rüptürüne bağlı olarak gelişen akut karın bulguları ile başvuran 43 yaşındaki olgu sunuldu. Fi zik mu a ye ne de şid det li karın ağ rı sı, ka bız lık ve pe ri to nit bul gu la rı sap tan dı. Eksploratris laparotomi yapıldı. Ameliyat sırasında Krukenberg tümör rüptürü, sol kolon tümörü ve karaciğer metastazı saptandı. Sol he mi ko lek to mi, sağ sal pin go o fe rek to mi, ka ra ci ğer bi yop si si ya pıl dı. Postoperarif dönem sorunsuz geçti. Tedaviye uygun kemoterapi rejimi eklendi. Over kist rüp tür le ri akut ka rın ağ rı sı nın önem li se bep le rin den biri dir. Bununla birlikte, ka rın içi ka na ma, çok na dir de ol sa Kru ken berg tü mö rü rüp tü rü ne bağ lı olabi lir.

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“…Though the primary site for metastatic ovarian cancer are various including breast, appendix, gall bladder, pancreas, uterine cervix, urinary bladder, renal pelvis etc. but the majority, more than 90% of the of the metastasis is from either stomach or colorectum [16]- [18]. Many study showed stomach to be the main primary site, some showed it being as high as 76% [16] [17] [19].…”

Section: Discussionmentioning

confidence: 99%

“…Many study showed stomach to be the main primary site, some showed it being as high as 76% [16] [17] [19]. But some recent article also showed a higher incidence of KT of colorectal origin compared with those of gastric origin [17] [18]. There are various routes by which many tumors arising from primary organs spread to the ovaries.…”

Section: Discussionmentioning

confidence: 99%

An Up-to-Date Understanding of the “Krukenberg Tumor” Mechanism

Shah¹,

Tang²,

Karn³

2016

ARSci

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Krukenbergtumor is a metastatic ovarian tumor with its primary site being the gastrointestinal tract. The pathogenesis of Krukenberg tumor formation is still in its hypothetical stage though the current understanding suggests lymphatic, hematogenous and transcoelomic route as the 3 major route of metastasis. There is a lack of description in the literature related to the pathway of metastasis. Here, we intend to search the available literature and provide a thorough review, which may be helpful to the readers to understand the issue of mechanism of Krukenberg tumor metastasis more clearly.

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Management of Krukenberg tumors: an 11-year experience and review of the literature

Cited by 27 publications

References 0 publications

The role of cytoreductive surgery for non-genital tract metastatic tumors to the ovaries

The role of cytoreductive surgery for non-genital tract metastatic tumors to the ovaries

Rupture of Krukenberg Tumor: Case Report of an Uncommon Entity

An Up-to-Date Understanding of the “Krukenberg Tumor” Mechanism

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