转移性胆囊癌转移至卵巢表现为原发性卵巢癌：病例报告。
Metastatic gallbladder cancer to the ovary presenting as primary ovarian cancer: a case report.
机构信息
Department of Obstetrics and Gynecology, School of Medicine, Kangwon National University, 156, Baengnyeong-ro, Chuncheon-si, Kangwon , Republic of Korea.
Department of Pathology, Graduate School of Medicine, Kangwon National University, Chuncheon-si, Kangwon, Republic of Korea.
出版信息
J Med Case Rep. 2021 Aug 5;15(1):413. doi: 10.1186/s13256-021-03001-2.
BACKGROUND
Krukenberg tumors are uncommon and are indicative of an ovarian metastatic carcinoma that originates from another site of primary malignancy. The majority of metastases to ovaries are derived from the stomach and colon. We present a rare case of a metastatic ovarian malignant tumor that originated from gallbladder adenocarcinoma.
CASE PRESENTATION
A 45-year-old premenopausal Korean woman presented with abdominal distension. Bilateral multiseptated ovarian tumors and a wall-thickened gallbladder were found on abdominal computed tomography. The patient was diagnosed with metastatic ovarian carcinoma arising from gallbladder adenocarcinoma and was treated with adjuvant chemotherapy.
CONCLUSIONS
Metastases to the ovaries from other sites, including the gallbladder, are rare and usually resemble primary ovarian tumors. Therefore, potential metastatic ovarian tumors of newly diagnosed pelvic masses should be considered in differential diagnoses.
背景
克鲁肯贝格肿瘤并不常见，提示卵巢转移性癌来源于其他部位的原发性恶性肿瘤。大多数转移至卵巢的肿瘤来源于胃和结肠。我们报告一例罕见的来源于胆囊腺癌的卵巢恶性转移肿瘤。
病例介绍
一名 45 岁的绝经前韩国女性因腹胀就诊。腹部 CT 显示双侧多房性卵巢肿瘤和胆囊壁增厚。该患者被诊断为来源于胆囊腺癌的转移性卵巢癌，并接受辅助化疗。
结论
来自其他部位（包括胆囊）的卵巢转移瘤较为罕见，通常与原发性卵巢肿瘤相似。因此，对于新诊断的盆腔肿块，应考虑潜在的转移性卵巢肿瘤作为鉴别诊断。
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