Pua Patricia Jarmin L, Bacalso Mary Nel B, Andres Mariaem M
Institute of Radiology, St. Luke's Medical Center, Quezon City, Philippines.
Acta Med Philipp. 2024 Aug 30;58(15):81-86. doi: 10.47895/amp.vi0.7969. eCollection 2024.
Krukenberg tumors are very rare. Its origin is difficult to define especially if its gross features mimic a primary ovarian cancer. We present a case of a 24-year-old Filipino female patient with metastatic mucinous ovarian adenocarcinoma of colonic origin that mimicked primary ovarian cancer and genitourinary tuberculosis. Surgery was done and histopathology revealed that the cancer was a metastatic mucinous adenocarcinoma of colonic origin. This case highlights the importance of differentiating between benign and malignant ovarian lesions as well as distinction between primary and metastatic ovarian neoplasms. Radiological imaging has an evolving role in diagnosis of different cancers, which may be improved through better clinical correlation and developing meaningful differential diagnosis while advancing to a more strategized algorithm in the diagnostic approach.
库肯勃瘤非常罕见。其起源难以界定，尤其是当它的大体特征类似原发性卵巢癌时。我们报告一例24岁的菲律宾女性患者，患有源自结肠的转移性黏液性卵巢腺癌，该肿瘤酷似原发性卵巢癌和泌尿生殖系统结核。患者接受了手术，组织病理学检查显示该癌症是源自结肠的转移性黏液性腺癌。该病例强调了区分卵巢良性和恶性病变以及鉴别原发性和转移性卵巢肿瘤的重要性。放射影像学在不同癌症的诊断中发挥着越来越重要的作用，通过更好的临床关联、制定有意义的鉴别诊断以及推进到更具策略性的诊断方法算法，这一作用可能会得到改善。
