Discovery of asymptomatic Krukenberg tumors diagnosed during caesarean section: therapy with hyperthermic intraperitoneal chemotherapy.
We report a case of the discovery of asymptomatic Krukenberg tumors in a 37-year-old woman in the 37th week of pregnancy during caesarean section. Subsequent gastroscopy revealed an adenocarcinoma of the stomach as the primary tumor site. The patient was treated with hyperthermic intraperitoneal chemotherapy (HIPEC). Tumor surgery (Partial parietal peritonectomy and partial gastrectomy) and HIPEC treatment were successful, with no complications found during follow-up. Use of HIPEC seems to be a promising option after radical surgery, including its use in patients with gastric tumors that are in advanced stages, and use in patients who have tumors with poor prognoses, such as Krukenberg tumors.
Department of Internal Medicine, Wuppertal Primary Health Care and Research Center, Wuppertal, Germany. burgazlk@uni-koeln.de
Kamil Mehmet
KM
Burgazli
Meric
M
Mericliler
Ethem
E
Kavukcu
Ali
A
Erdogan
Abdurrahim Kubilay
AK
Ertan
D000328:Adult; D061067:Antibodies, Monoclonal, Humanized / Q000008:administration & dosage; D000970:Antineoplastic Agents / Q000008:administration & dosage; D000971:Antineoplastic Combined Chemotherapy Protocols / Q000627:therapeutic use*; D058070:Asymptomatic Diseases; D000068258:Bevacizumab; D002585:Cesarean Section; D002945:Cisplatin / Q000008:administration & dosage; D003131:Combined Modality Therapy; D000077143:Docetaxel; D005260:Female; D005472:Fluorouracil / Q000008:administration & dosage; D006801:Humans; D006979:Hyperthermia, Induced; D033162:Incidental Findings; D007263:Infusions, Parenteral; D007725:Krukenberg Tumor / Q000175:diagnosis / Q000628:therapy*; D016685:Mitomycin / Q000008:administration & dosage; D010051:Ovarian Neoplasms / Q000175:diagnosis / Q000628:therapy*; D011247:Pregnancy; D043823:Taxoids / Q000008:administration & dosage
D061067:Antibodies, Monoclonal, Humanized; D000970:Antineoplastic Agents; D043823:Taxoids; D000077143:Docetaxel; D000068258:Bevacizumab; D016685:Mitomycin; D002945:Cisplatin; D005472:Fluorouracil