[Krukenberg's tumor as the first clinical manifestation of fibrolamellar hepatocarcinoma].
Krukenberg's tumor refers to unilateral or bilateral ovarian metastatic tumors whose origin may be known or unknown. The incidence of this type of tumor is difficult to evaluate but may represent between 3% and 8% of ovarian tumors. In most cases, the primary tumor is identified and is usually digestive (basically gastric or colorectal). There are some references to primary hepatic tumors (gall bladder tumor and hepatocarcinoma) but none to fibrolamellar hepatocarcinoma as the primary tumor. We present the case of a 45-year-old woman who presented with lower hemiabdominal pain and who was diagnosed with Krukenberg's tumor of hepatic origin. Although ovarian involvement in primary digestive tumors is possible, hepatic origin is rare.
Servicio de Cirugía Hepatolobiliopancreática y Trasplante Hepático, Hospital Vall d'Hebron, Universidad Autónoma de Barcelona, Passeig de la Vall d'Hebron 119-129, Barcelona, Spain. ibilbao@vhebron.net
Itxarone
I
Bilbao
Ramón
R
Vilallonga
Elena
E
Allende
Angeles
A
Montero
Sergi
S
Quiroga
Luis
L
Viladomiu
Ramón
R
Charco
Carlos
C
Margarit
D006528:Carcinoma, Hepatocellular / Q000175:diagnosis / Q000556:secondary*; D005260:Female; D006801:Humans; D007725:Krukenberg Tumor / Q000556:secondary*; D008113:Liver Neoplasms / Q000175:diagnosis / Q000473:pathology*; D008875:Middle Aged; D010051:Ovarian Neoplasms / Q000556:secondary*