Cho K C, Gold B M
AJR Am J Roentgenol. 1985 Aug;145(2):285-8. doi: 10.2214/ajr.145.2.285.
Computed tomography (CT) of three patients with Krukenberg tumor was reviewed retrospectively. CT showed large, lobulated, multicystic masses with soft-tissue components, indistinguishable from primary ovarian carcinoma. Indeed, CT and sonography of all three patients were initially interpreted as primary ovarian carcinoma. The ovary is a frequent site of metastases, particularly from colon carcinoma. These can be quite large, yet diagnosis is seldom made preoperatively. Much has been written about metastatic ovarian tumor, but this is the first report in the radiologic literature about their CT features. The authors emphasize the importance of recognizing the ovary as a frequent site of metastases and the proper approach to this problem. In patients with a history of colon or gastric carcinoma, the mixed cystic and solid ovarian mass on CT should be regarded as metastatic tumor until proven otherwise. A careful search for gastrointestinal tract signs or symptoms should be done in any patient with a pelvic tumor. When CT is done for evaluation of ovarian tumor, the stomach and colon should be carefully evaluated, and the ovaries routinely examined in the preoperative CT staging of gastric or colon carcinoma.
对3例库肯伯格瘤患者的计算机断层扫描（CT）进行了回顾性分析。CT显示为大的、分叶状的、多房性肿块，并伴有软组织成分，与原发性卵巢癌难以区分。实际上，这3例患者的CT和超声检查最初均被诊断为原发性卵巢癌。卵巢是转移瘤的常见部位，尤其是结肠癌转移。这些转移瘤可能相当大，但术前很少能做出诊断。关于转移性卵巢肿瘤已有很多报道，但这是放射学文献中关于其CT特征的首次报告。作者强调认识到卵巢是转移瘤常见部位的重要性以及处理该问题的正确方法。对于有结肠癌或胃癌病史的患者，CT上卵巢的混合性囊实性肿块在未得到其他证实之前应视为转移瘤。对任何盆腔肿瘤患者都应仔细查找胃肠道症状或体征。当进行CT检查以评估卵巢肿瘤时，应仔细评估胃和结肠，并且在胃癌或结肠癌的术前CT分期中常规检查卵巢。
