A Clinicopathologic Study on Gastric Cancer Metastatic to the Ovary

Ok, Chang Min; Lee, Seong Hwun; Kim, Hyong Wook; Lee, Jae Seung; Kang, Dae Hwan; Song, Chul Soo; Song, Geun Am; Cho, Mong; Yang, Ung Suk

Abstract

BACKGROUND/AIMS: The gastric cancer is highly prevalent in Korea, and it is the most common primary cancer metastatic to the ovary (Krukenberg tumor). We analyzed the clinical, endoscopic, and histologic features of the gastric cancer metastatic to the ovary.
METHODS
We retrospectively revie wed 11 patients with gastric cancer metastatic to the ovary. They were admitted in Pusan Nationa University Hospital from 1991 to 1997.
RESULTS
The mean age of the patients was 38.2 years. The primary gastric cancer was located on the body in 5 cases, both on body and cardia in 2 cases, both on body and antrum in 2 cases, and on antrum in 2 cases. In 5 cases, the gross appearance of th gastric cancer was Borrmann type 3 and that of the remaining 6 cases was Borrmann type 4. In 7 cases, the histologic features was poorly differentiated adenocarcinoma and in 4 cases, it was signe ring cell carcinoma. According to Lauren classification, 9 cases showed diffuse type and 2 cases were intestinal type.
CONCLUSIONS
The primary gastric cancer metastatic to the ovary was characterized by young age, gastric body in location, and diffuse and poorly differentiated type in histology. Thus, i is important in younger patients with gastric cancer to examine ovary as a metastatic organ.