Abstract
Introduction: The Krukenberg tumor is a rare malignant tumor of the ovary, accounting from 1% to 2% of all ovarian tumors. It is usually but not always a bilateral involvement of ovaries from metastatic deposit from adenocarcinoma of stomach, and rarely from other gastrointestinal (GI) and non GI organs. Patients and methods: We report a series of 6 patients with Krukenberg tumors treated at the Casablanca University Hospital between January 2008 and November 2014. Results: Mean age of the patients was 46 years; digestive signs predominated over pelvic signs. Bilateral forms were more frequent. Surgical treatment and palliative chemotherapy were given. The histological diagnosis is based on the presence of signet-ring cells associated with a pseudo sarcoma stroma. The primary tumor was found in all of the cases. The prognosis was unfavorable due to late diagnosis. Conclusion: Krukenberg tumor is an ovarian metastasis of digestive tract cancer. The only hope for improved prognosis is to search for ovarian metastasis in all cases and prophylactic ovariectomy in women over 40 with digestive tract cancer.
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