A Case of Intra-mucosal Gastric Cancer with Krukenberg's Tumor

Naoki Hashimoto^{1) 2)}, Tatsuya Nodagashira, Masahiro Fujita, Seisho Takaya, Tatsuo Kumagai²⁾, Masanori Tanaka³⁾ and Mutsuo Sasaki¹⁾

¹⁾Second Department of Surgery, Hirosaki University School of Medicine

²⁾Department of Surgery, Noheji Municipal Hospital
³⁾Second Department of Pathology, Hirosaki University School of Medicine

A 35-year-old woman was admitted with discomfort caused by a tumor mass in the lower abdomen, which was suspected to be an ovarian tumor. Bilateral oophorectomy was performed and the tumor was histopathologically classified as signet ring cell carcinoma. Postoperative gastrointestinal fiberscopy revealed an early gastric carcinoma of the IIc-type on the greater curvature of the middle potion of the gastric body. The biopsy specimens were diagnosed as signet ring cell carcinoma, and a total gastrectomy was carried out. Krukenberg's tumor is reported to be a kind of tumor cell dissemination, but our case did not show any peritoneal dissemination. Six cases of intramucosal gastric cancer with Krukenberg's tumor have been found in the Japanese literature.

Key words
Krukenberg's tumor, signet ring cell carcinoma, intra-mucosal gastric cancer

Reprint requests
Naoki Hashimoto Second Department of Surgery, Hirosaki University School of Medicine 5 Zaifu-cho, Hirosaki, 036-8562 JAPAN

Accepted
November 30, 1999

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