title: Bilateral ovarian carcinoma metastatic from the ampulla of Vater: a rare Krukenberg tumor.
abstract: Carcinoma of the ampulla of Vater is a relatively rare neoplasm and its longterm survival rate is considerably high. However, because of differences in tumor pathologic features and local invasiveness, a 5-year survival rate differ widely. We present a case of metastatic carcinoma of the ampulla of Vater presenting as a Krukenberg tumor in a 59-year-old woman. Eight months earlier, she had been diagnosed as well-differentiated adenocarcinoma of the ampulla of Vater. Abdominal examination revealed a hard mass with mild tenderness in the RLQ area. The laboratory findings were unremarkable except for mild anemia. CT scan of the abdomen revealed enlargement of both ovaries. An exploratory laparotomy disclosed bilateral ovarian masses, 18 x 12 x 8 cm and 8 x 5.5 x 4 cm in size, respectively. Histologic findings of the both ovarian masses were consistent with metastatic adenocarcinoma from the ampulla of Vater.
authors.affiliation: Department of Internal Medicine, Institute of Digestive Disease and Nutrition, Korea University College of Medicine, Seoul.
authors.forename: K H
authors.initials: KH
authors.lastname: Kim
authors.forename: C D
authors.initials: CD
authors.lastname: Kim
authors.forename: H S
authors.initials: HS
authors.lastname: Lee
authors.forename: J H
authors.initials: JH
authors.lastname: Hyun
authors.forename: Y S
authors.initials: YS
authors.lastname: Kim
authors.forename: I S
authors.initials: IS
authors.lastname: Kim
mesh_terms: D014670:Ampulla of Vater / Q000473:pathology; D003138:Common Bile Duct Neoplasms / Q000473:pathology* / Q000601:surgery; D005260:Female; D006801:Humans; D007725:Krukenberg Tumor / Q000378:metabolism* / Q000473:pathology; D008875:Middle Aged; D010051:Ovarian Neoplasms / Q000556:secondary*; D014057:Tomography, X-Ray Computed