Krukenberg Tumor in Association with Ureteral Stenosis Due to Peritoneal Carcinomatosis from Pulmonary Adenocarcinoma: A Case Report

Krukenberg tumors from pulmonary adenocarcinoma represent an extremely rare situation; only a few cases have been reported. The aim of this paper is to report an unusual such case in which almost complete dysphagia and ureteral stenosis occurred. The 62-year-old patient was initially investigated fo...

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Main Authors: Irina Balescu, Nona Bejinariu, Simona Slaniceanu, Mircea Gongu, Brandusa Masoud, Smarandita Lacau, George Tie, Maria Ciocirlan, Nicolae Bacalbasa, Catalin Copaescu
Format: Article
Language:English
Published: MDPI AG 2020-04-01
Series:Medicina
Subjects:
Online Access:https://www.mdpi.com/1010-660X/56/4/187
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author Irina Balescu
Nona Bejinariu
Simona Slaniceanu
Mircea Gongu
Brandusa Masoud
Smarandita Lacau
George Tie
Maria Ciocirlan
Nicolae Bacalbasa
Catalin Copaescu
author_facet Irina Balescu
Nona Bejinariu
Simona Slaniceanu
Mircea Gongu
Brandusa Masoud
Smarandita Lacau
George Tie
Maria Ciocirlan
Nicolae Bacalbasa
Catalin Copaescu
author_sort Irina Balescu
collection DOAJ
description Krukenberg tumors from pulmonary adenocarcinoma represent an extremely rare situation; only a few cases have been reported. The aim of this paper is to report an unusual such case in which almost complete dysphagia and ureteral stenosis occurred. The 62-year-old patient was initially investigated for dysphagia and weight loss. Computed tomography showed the presence of a thoracic mass compressing the esophagus in association with a few suspect pulmonary and peritoneal nodules, one of them invading the right ureter. A biopsy was performed laparoscopically on the peritoneal nodules. The right adnexa presented an atypical aspect; right adnexectomy was also found. The histopathological and immunohistochemical studies confirmed that the primitive origin was pulmonary adenocarcinoma. Although both peritoneal carcinomatosis and ovarian metastases from pulmonary adenocarcinoma represent a very uncommon situation, this pathology should not be excluded, especially in cases presenting suspect pulmonary lesions.
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spelling doaj.art-3d41b0b230a941ec8dfe288109dc22882023-09-02T05:37:39ZengMDPI AGMedicina1010-660X2020-04-015618718710.3390/medicina56040187Krukenberg Tumor in Association with Ureteral Stenosis Due to Peritoneal Carcinomatosis from Pulmonary Adenocarcinoma: A Case ReportIrina Balescu0Nona Bejinariu1Simona Slaniceanu2Mircea Gongu3Brandusa Masoud4Smarandita Lacau5George Tie6Maria Ciocirlan7Nicolae Bacalbasa8Catalin Copaescu9Department of Surgery, “Ponderas” Academic Hospital, 021188 Bucharest, RomaniaDepartment of Pathology, “Santomar Oncodiagnostic”, 400664 Cluj Napoca, RomaniaDepartment of Pathology, “Santomar Oncodiagnostic”, 400664 Cluj Napoca, RomaniaDepartment of Oncology, “Ponderas” Academic Hospital, 021188 Bucharest, RomaniaDepartment of Radiology, “Ponderas” Academic Hospital, 021188 Bucharest, RomaniaDepartment of Radiology, “Ponderas” Academic Hospital, 021188 Bucharest, RomaniaDepartment of Urology, “Ponderas” Academic Hospital, 021188 Bucharest, RomaniaDepartment of Gastroenterology, “Ponderas” Academic Hospital, 021188 Bucharest, Romania“Carol Davila” University of Medicine and Pharmacy, 020021 Bucharest, RomaniaDepartment of Surgery, “Ponderas” Academic Hospital, 021188 Bucharest, RomaniaKrukenberg tumors from pulmonary adenocarcinoma represent an extremely rare situation; only a few cases have been reported. The aim of this paper is to report an unusual such case in which almost complete dysphagia and ureteral stenosis occurred. The 62-year-old patient was initially investigated for dysphagia and weight loss. Computed tomography showed the presence of a thoracic mass compressing the esophagus in association with a few suspect pulmonary and peritoneal nodules, one of them invading the right ureter. A biopsy was performed laparoscopically on the peritoneal nodules. The right adnexa presented an atypical aspect; right adnexectomy was also found. The histopathological and immunohistochemical studies confirmed that the primitive origin was pulmonary adenocarcinoma. Although both peritoneal carcinomatosis and ovarian metastases from pulmonary adenocarcinoma represent a very uncommon situation, this pathology should not be excluded, especially in cases presenting suspect pulmonary lesions.https://www.mdpi.com/1010-660X/56/4/187pulmonary adenocarcinomaKrukenberg tumorsureteral stenosis
spellingShingle Irina Balescu
Nona Bejinariu
Simona Slaniceanu
Mircea Gongu
Brandusa Masoud
Smarandita Lacau
George Tie
Maria Ciocirlan
Nicolae Bacalbasa
Catalin Copaescu
Krukenberg Tumor in Association with Ureteral Stenosis Due to Peritoneal Carcinomatosis from Pulmonary Adenocarcinoma: A Case Report
Medicina
pulmonary adenocarcinoma
Krukenberg tumors
ureteral stenosis
title Krukenberg Tumor in Association with Ureteral Stenosis Due to Peritoneal Carcinomatosis from Pulmonary Adenocarcinoma: A Case Report
title_full Krukenberg Tumor in Association with Ureteral Stenosis Due to Peritoneal Carcinomatosis from Pulmonary Adenocarcinoma: A Case Report
title_fullStr Krukenberg Tumor in Association with Ureteral Stenosis Due to Peritoneal Carcinomatosis from Pulmonary Adenocarcinoma: A Case Report
title_full_unstemmed Krukenberg Tumor in Association with Ureteral Stenosis Due to Peritoneal Carcinomatosis from Pulmonary Adenocarcinoma: A Case Report
title_short Krukenberg Tumor in Association with Ureteral Stenosis Due to Peritoneal Carcinomatosis from Pulmonary Adenocarcinoma: A Case Report
title_sort krukenberg tumor in association with ureteral stenosis due to peritoneal carcinomatosis from pulmonary adenocarcinoma a case report
topic pulmonary adenocarcinoma
Krukenberg tumors
ureteral stenosis
url https://www.mdpi.com/1010-660X/56/4/187
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