Krukenberg tumor
Plastic Linitis with bilateral Krukenberg´s Tumor.

Video Endoscopic Sequence 1 of 13.

Plastic Linitis with bilateral Krukenberg´s Tumor.

A 47 year-old, nurse woman with extensive infiltration of gastric carcinoma, at operation room the surgeon found bilateral ovarian infiltration

More endoscopic cases of Plastic Linitis at Gastric Cancer III

 

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All endoscopic images shown in this Atlas contain
video clips.

 

Plastic Linitis

Video Endoscopic Sequence 2 of 13.

Plastic Linitis

The gastric adenocarcinoma is observed in retroflexed maneuver.


Gastric Adenocarcinoma.

Video Endoscopic 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.



Macroscopic appearance of sectioned surface of a gastric

Video Endoscopic Sequence 4 of 13.

Plastic Linitis

Macroscopic appearance of sectioned surface of a gastric
adenocarcinoma.


Bilateral Krukenberg´s tumor.

Video Endoscopic 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.





Bilateral Krukenberg´s tumor.

Video Endoscopic Sequence 6 of 13.

The other ovary was also 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.





Plastic Linitis

Video Endoscopic Sequence 7 of 13.

Plastic Linitis

Another view of the stomach specimen at the operation
room.

 

Plastic Linitis

Video Endoscopic Sequence 8 of 13.

Plastic Linitis

Macroscopic appearance of the entire stomach.

 

 

Plastic Linitis

Video Endoscopic Sequence 9 of 13.

Plastic Linitis

Macroscopic appearance of the entire stomach.

 

 

Plastic Linitis

Video Endoscopic Sequence 10 of 13.

Plastic Linitis

The thickening of the walls of the entire stomach is observed

Plastic Linitis

Video Endoscopic Sequence 11 of 13.

Plastic Linitis


Plastic Linitis

Video Endoscopic Sequence 12 of 13.

Plastic Linitis

Plastic Linitis

Video Endoscopic Sequence 13 of 13.

Plastic Linitis

 

Plastic Linitis with bilateral Krukenberg´s Tumor.

Video Endoscopic Sequence 1 of 7.

Plastic Linitis with bilateral Krukenberg´s Tumor.

This is the case of a 38 year-old female with refractory ascitis. She had been seen at a public hospital during a year as if it were ascites due to cirrhosis. Before, multiple paracentesis had been done on her. The patient then came to our unit for a second opinion. In the abdominal ultrasonography, the mesentery and the abdominal ganglia are thickened, which allows us to suspect malignancy. A possible ovarian cancer was suspected. A gallon of ascites had to be extracted. A pelvic MRI was conducted, finding both ovaries infiltrated. The next day we performed an upper endoscopy finding the images and videos presented here.


 

 

 

Plastic Linitis with bilateral Krukenberg´s Tumor.

Video Endoscopic Sequence 2 of 7.

Plastic Linitis with bilateral Krukenberg´s Tumor.

Endoscopy of plastic Linitis

Gastric cancer remains one of the deadly diseases with poor prognosis.

Biopsies revealed diffuse adenocarcinoma with signet-ring cell.

Gastric cancer consists of two pathological variants, intestinal and diffuse. The intestinal-type is the end-result of an inflammatory process that progresses from chronic gastritis to atrophic gastritis and finally to intestinal metaplasia and dysplasia. This type is more common among elderly men, unlike the diffuse type, which is more prevalent among women and in individuals under the age of 50. The diffuse-type, characterized by the development of linitis plastica, is associated with an unfavorable prognosis because the diagnosis is often delayed until the disease is quite advanced. Gastric H. pylori infection is highly associated with this type as with the intestinal-type. Adenocarcinoma Adenocarcinomas arising from gastric epithelium are the most common malignancies of the stomach (90% of cases). Malignancies arising from connective tissue (sarcoma) and from lymphatics (lymphoma) are less common. Adenocarcinomas are most often found in the gastric cardia (31%), followed by the antrum (26%), and body of the stomach (14%).

 

Plastic Linitis with bilateral Krukenberg´s Tumor.

Video Endoscopic Sequence 3 of 7.

Plastic Linitis with bilateral Krukenberg´s Tumor.

Endoscopy of plastic Linitis

MRI of bilateral Krukenberg Tumor

Video Endoscopic Sequence 4 of 7.

MRI of bilateral Krukenberg Tumor

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Video Endoscopic Sequence 5 of 7.

MRI of bilateral Krukenberg Tumor

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Video Endoscopic Sequence 6 of 7.

MRI of bilateral Krukenberg Tumor

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Video Endoscopic Sequence 7 of 7.

MRI of bilateral Krukenberg Tumor

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Plastic Linitis with bilateral Krukenberg´s Tumor.

Video Endoscopic Sequence 1 of 2.

Plastic Linitis with bilateral Krukenberg´s Tumor.

This is a 56 year-old female gynecologist, who
undewent a laparotomy because of ovarian tumor, in the transoperatory the gynecologist found a gastric adenocarcinoma and infiltration of the both ovaries.



Plastic Linitis with bilateral Krukenberg´s Tumor.

Video Endoscopic Sequence 2 of 2.

Plastic Linitis with bilateral Krukenberg´s Tumor.

At laparotomy had signs of inoperability.
She underwent a gastro-jejuno anastomosis.

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