Gastric Cancer Presenting as a Krukenberg Tumor at 22 Weeks' Gestation.
10.5230/jgc.2014.14.4.275
- Author:
Paul Vincent CO
1
;
Ashutosh GUPTA
;
Bashar M ATTAR
;
Melchor DEMETRIA
Author Information
1. Department of Medicine, John H Stroger Hospital of Cook County, Chicago, IL, USA. paul_vincent_co@hotmail.com
- Publication Type:Case Report
- Keywords:
Krukenberg tumor;
Stomach neoplasms;
Pregnancy;
Linitis plastica
- MeSH:
Adenocarcinoma;
Adult;
Biopsy;
Endoscopy;
Female;
Frozen Sections;
Humans;
Infant;
Krukenberg Tumor*;
Laparotomy;
Linitis Plastica;
Magnetic Resonance Imaging;
Ovary;
Pregnancy*;
Stomach;
Stomach Neoplasms*;
Ultrasonography
- From:Journal of Gastric Cancer
2014;14(4):275-278
- CountryRepublic of Korea
- Language:English
-
Abstract:
Gastric cancer is rare during pregnancy, and often advanced upon presentation. A Krukenberg tumor presents a diagnostic and therapeutic challenge in the pregnant patient. We present a case of a 38-year-old woman at 22 weeks' gestation who presented with worsening epigastric pain, and was found to have a left pelvic mass on ultrasound, which was confirmed by magnetic resonance imaging. She went into active labor and delivered a viable infant via vaginal delivery. An exploratory laparotomy revealed a large mass originating from her left ovary and diffuse thickening of the lesser curvature of the stomach. Frozen section investigation revealed the presence of signet cell adenocarcinoma. Subsequent upper endoscopy showed linitis plastica, while biopsy confirmed the presence of adenocarcinoma. In conclusion, the occurrence of gastric cancer in pregnancy is rare despite extremely common symptoms. The management poses a challenge because of the need for early treatment, and the continuation of the pregnancy.
