KRUKENBERG TUMOR COMPLICATED BY PREGNANCY

A 32-year-old female presented with a right ovarian mass, and the unil ateral oophorectomy specimen revealed adenocarcinoma with signet-ring cells histology consistent with a Krukenberg tumor. The high-grade gas tric primary adenocarcinoma was later identified, but by this time a v iable 7-week fetus and left ovarian Krukenberg tumor were present. Sec ond trimester palliative oophorectomy and partial gastrectomy were per formed. The patient delivered a healthy infant by cesarean section and is now 36 months after the initial diagnosis of metastatic gastric ca rcinoma and remains asymptomatic and free of disease. The unexpectedly favorable clinical outcome suggests that a patient may benefit from r esection of gastric adenocarcinoma metastatic to ovary when other site s of metastatic disease are not evident. (C) 1996 Academic Press, Inc.