Korean J Obstet Gynecol.  2011 Oct;54(10):643-646. 10.5468/KJOG.2011.54.10.643.

A young patient in Korea with Krukenberg tumors arising from breast cancer: A case report

• Kwon HY
• Nam EJ
• Kim SW
• Kim YT

• KMID: 1836754
• DOI: http://doi.org/10.5468/KJOG.2011.54.10.643

Abstract

Metastasis of breast cancer to lung, bone and liver is common, but metastasis to ovaries is rare in Korea. A 31-year-old woman diagnosed with breast cancer was referred to our department due to a newly detected adnexal mass via abdomen sonography during regular check-up. Imaging studies revealed solid mass on left ovary and enlarged lymph nodes. She underwent a laparotomy including hysterectomy, bilateral salpingo-oophorectomy, lymphadenectomy, with a suspected impression of primary ovarian neoplasms or Krukenberg tumors. Pathologic findings revealed metastatic adenocarcinoma from breast cancer involving left ovary and paraaortic lymph nodes. To our knowledge, this is the youngest Korean patient with Krukenberg tumors from the breast. In Korea, since the average age affected by breast cancer is younger than in the West, and the incidence and the mortality of breast cancer has increased, possible ovarian metastasis should be kept in mind when Korean patient with breast cancer visits for follow-up.

Keyword

Krukenberg tumor; Breast neoplasm; Young female

MeSH Terms

Abdomen
Adenocarcinoma
Adult
Breast
Breast Neoplasms
Female
Follow-Up Studies
Humans
Hysterectomy
Incidence
Korea
Krukenberg Tumor
Laparotomy
Liver
Lung
Lymph Node Excision
Lymph Nodes
Neoplasm Metastasis
Ovarian Neoplasms
Ovary

Figure

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  Fig. 1 The magnetic resonance imaging showed a solid mass lesion about 10 cm in size with peripheral cystic portions on left ovary.

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  Fig. 2 The positron emission tomography-computed tomography showed cystic type, 10 cm in sized, intense fludeoxyglucose uptake on the left adnexa and there was mild uptake of paraaortic lymph node metastasis.

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  Fig. 3 (A) Breast cancer: invasive ductal carcinoma. (B) Left ovary: metastatic (H&E, × 100).

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