Sequence 1 of 13.

Plastic Linitis with bilateral Krukenberg´s Tumor.

 A 47 year-old, nurse woman with extensive infiltration of
 gastric carcinoma, she had bilateral Krukenberg´s Tumor.

 For more endoscopic details please download the video clip
 by clicking on the images. All endoscopic images of this
 atlas has a video clip.

Sequence 2 of 13.

 Same case as above, the adenocarcinoma is appreciated in
 retroflexed maneuver.

 

Sequence 3 of 13.

Gastric Adenocarcinoma.

 This image displays a macroscopic specimen at the
 operation room, the macroscopic appearance shown here
 is the ulcerated whitish image at the center.

 Krukenberg´s tumor of ovary which has a signet ring
 histologic pattern.
 The lesions may not be discovered until the primary
 disease is advanced, and most patients die of their disease
 within a year. In some cases, a primary tumor is not found.

Sequence 4 of 13.

 Macroscopic appearance of sectioned surface of a gastric
 adenocarcinoma.
 

Sequence 5 of 13.

Bilateral Krukenberg´s tumor.

 At the surgery was found that both ovaries were infiltrated.
 The image displays a sectioned surface of a ovary is seen
 The ovary is an occasional site of metastasis from another
 primary tumor frequently in the stomach Krukenberg´s
 Tumor may be unilateral or bilateral, and associated
 with spread throughout the peritoneum.
 This case of gastric cancer both ovaries were infiltrated.

Sequence 6 of 13.

The other ovary was infiltrated.

 Associated persons:
Friedrich Ernst Krukenberg.

 Description: A malignant tumor of the ovary, usually
 bilateral, with fibromyxomatous stroma and
 scattered mucin secreting signet cells. Typically, the tumor
 is a large, greyish white, solid lesion. The primary tumor
 usually found in the ventricle. By Krukenberg termed
 fibrosarcoma ovarii mucocellulare carcinomatodes, but they
 are now known to be most frequently secondary to
 malignancy of the gastrointestinal tract. Occur in elderly
 women.
           Bibliography:
           F. E. Krukenberg:
           Über das Fibrosarcoma ovarii mucocellulare
           (carcinomatodes).
           Archiv für Gynäkologie, Berlin, 1896, 50:
           287-321.

 Sequence 7 of 13.

 Another view of the stomach specimen at the operation
 room.

Sequence 8 of 13.

Macroscopic appearance of the entire stomach.

Sequence 9 of 13.

Sequence 10 of 13.

To enlarge the image click here

Sequence 11 of 13.

Sequence 12 of 13.

Sequence 13 of 13.