Krukenberg tumor in pregnancy: A pathologist's point of view

A 32-year-old female patient at 32 weeks of gestation presented with persistent agonizing epigastric pain with vomiting from conception. CA125 levels were raised and a second look ultrasound scan revealed a viable fetus with a right-sided ovarian mass. Preterm vaginal delivery at 32 weeks resulted i...

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Bibliographic Details
Main Authors: G V Chaitra, Debarshi Saha, Radha R Pai, Mahathi Krothapalli
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2017-01-01
Series:Journal of Medical Sciences
Subjects:
Online Access:http://jms.ndmctsgh.edu.tw/article.asp?issn=1011-4564;year=2017;volume=37;issue=2;spage=69;epage=71;aulast=Chaitra
Description
Summary:A 32-year-old female patient at 32 weeks of gestation presented with persistent agonizing epigastric pain with vomiting from conception. CA125 levels were raised and a second look ultrasound scan revealed a viable fetus with a right-sided ovarian mass. Preterm vaginal delivery at 32 weeks resulted in a viable infant. Excision of the ovarian mass revealed Krukenberg tumor (KKT). The other ovary was grossly normal. Ovarian malignancy in pregnancy is a rare phenomenon, more so is the KKT. The infrequency, initial unilaterality, and the low power view misled identification at first. Periodic acid–Schiff and mucicarmine histochemical staining clinched the diagnosis.
ISSN:1011-4564