Word

A mass away from a mass

( A case of krukenberg tumor from breast carcinoma)

Abstract

This is a report on a 54 year old post menopausal woman who was admitted due to difficulty in breathing,patient had already undergone modified radical mastectomy, right breast for invasive ductal carcinoma stage IIB. Pathology of which revealed invasive ductal carcinoma with mucin-secreting signet ring cells. Patient was found to have stage IV breast cancer. Treatment will consist of chemotherapy with palliative radiotherapy and adjuvant hormone therapy with tamoxifen however before patient could start treatment, she noted presence of rapidly enlarging abdomen. Ultrasound done revealed presence of pelvic mass with massive ascites. We performed salpingo oophorectomy, right, peritoneal fluid cytology,appendectomy with omental biopsy. The pathological diagnosis of the tumor revealed metastasis of signet ring cell breast cancer to the right ovary including the fallopian tube and other distant metastasis. The patient was given palliative care after the operation. Patient succumbed to cancer a few months after the surgery. For the conclusion, although complete response to chemoradiotherapy can be achieved in advance breast cancer, Krukenberg tumors of breast origin may be seen on follow up.

Introduction

Krukenberg tumor is an uncommon metastatic tumor of the ovary, especially those metastasis containing mucin secreting signet ring cells. Krukenberg tumor of breast origin is not a frequent condition

Objectives

1. To be able to identify cases of krukenberg tumor in patients with abdominopelvic mass

2.

Key words

Case presentation

This is a 45 year old, G3P2 (2012) who was previously diagnosed with invasive ductal carcinoma of the breast, right and underwent modified radical mastectomy, right, two months prior to admission. Patient was supposed to undergo chemotherapy after the said surgery however patient developed sudden abdominal enlargement...