Rare Case of Kurkenberg Tumor With Primary T1 Gastric Tumor, Without Any Other Metastasis: Literature Review of Treatment and Prognostic Factors

Abstract

Introduction: Kurkenberg tumor (KT) is a rare entity of ovarian metastasis from a primary cancer in the gastrointestinal tract. According to new diagnostic criteria, a mucin-secreting signet ring Cell Cancer (SRCC) tumor in dense fibroblastic stroma of the ovary is referred as a KT (12). Deep invasion, lymph node involvement and peritoneal metastasis are more frequent in gastric signet ring cell carcinoma (SRCC) compared with other subtypes of gastric cancer with poor prognosis (9). Background: KTs are common in young and premenopausal females. It is usually bilateral and if unilateral, more common on right as compared to left. The tumor is predominantly solid, with a clear border, irregular shape and occasionally exhibits a single or multiple cystic structures. The route of metastasis of this rare entity is still not proven.Figure 1Figure 2Figure 3Case: We report a very rare presentation of KT in a postmenopausal female who only complained of postmenopausal vaginal bleeding. She was diagnosed with large KT of the left ovary after TAHBSO. Subsequently found to have primary gastric T1a lesion on subtotal gastrectomy and no evidence of metastasis found on further work up.