Tumor de Krukenberg. Reporte de caso

Abstract

Krukenberg tumor, known as a metastatic ovarian malignancy, constitutes approximately 5% to 15% of ovarian malignancies and is associated with an unfavorable prognosis. Its prevalence varies among populations, with higher incidence rates observed in regions with a high prevalence of gastric carcinoma, such as Japan, where Krukenberg tumors represent up to 17.8% of all ovarian carcinomas. The general objective of this study was to describe the therapeutic approach employed in a clinical case, and the specific objectives focused on identifying the diagnostic scheme, clinical manifestations, and initial comorbidities presented by the patient. The methodology used encompassed a descriptive research approach, involving the collection of data provided by the AS400 system at José Carrasco Arteaga Hospital in the city of Cuenca. In this specific case study related to Krukenberg tumor, the patient, a 24-year-old woman with a history of ovarian cyst diagnosed two years ago and treated with oral contraceptives, which were discontinued by medical decision six months ago, sought medical attention due to long-lasting colicky abdominal pain that worsened over the last three months. Ultrasound examinations revealed a solid pelvic mass and fluid in the pelvic cavity. Subsequent surgery identified the presence of ascitic fluid, enlarged ovaries, multiple tumor implants, and metastatic nodules in different areas, indicating metastasis from gastric carcinoma, i.e., a Krukenberg tumor.