Sakpal Sujit V, Babel Nitin, Pulinthanathu Rajiv, Denehy Thad R, Chamberlain Ronald S
Department of Surgery, Saint Barnabas Medical Center, New Jersey 07039, USA.
J Nippon Med Sch. 2009 Apr;76(2):96-102. doi: 10.1272/jnms.76.96.
A 56-year-old female presented with abdominal pain, weight loss and fatigue. Computed tomography revealed an abdominopelvic mass and ascites. At surgery she had carcinomatosis and bilateral ovarian metastases arising from a cancer in a Meckel's diverticulum. Histology identified the primary to be a signet-ring cell adenocarcinoma within the Meckel's with ovarian metastases. This is the first report of a Krukenberg tumor from a Meckel's diverticulum. A discussion of malignancies within a Meckel's diverticulum is provided.
一名56岁女性出现腹痛、体重减轻和疲劳症状。计算机断层扫描显示腹盆腔有肿物及腹水。手术时发现她患有癌病,双侧卵巢转移瘤源于梅克尔憩室的癌症。组织学检查确定原发灶为梅克尔憩室内的印戒细胞腺癌伴卵巢转移。这是首例关于梅克尔憩室来源的库肯勃瘤的报告。本文还对梅克尔憩室内的恶性肿瘤进行了讨论。