title: Pregnancy complicated by a Krukenberg tumor with an undetermined origin and its management.
abstract: Krukenberg tumor in pregnancy is very rare and management of this condition is a dilemma for physicians. Moreover, the existence of a primary Krukenberg tumor is still in debate. Herein, we present a 29-year-old woman at 29 weeks of pregnancy, admitted with premature labor and revealed to have a signet ring cell ovarian tumor with an undetermined primary origin. A primary Krukenberg tumor or a Krukenberg tumor with an undetermined origin has not been previously reported in a pregnant patient. By virtue of the controversy, we are not eager to use the term 'primary Krukenberg tumor' for this case, although the possibility of the existence of this kind of tumor cannot be totally ignored.
authors.affiliation: Department of Obstetrics and Gynecology, Ankara University, Ankara, Turkey.
authors.forename: Firat
authors.initials: F
authors.lastname: Tulek
authors.forename: Alper
authors.initials: A
authors.lastname: Kahraman
authors.forename: Salih
authors.initials: S
authors.lastname: Taskin
authors.forename: Ayse
authors.initials: A
authors.lastname: Sertcelik
authors.forename: Firat
authors.initials: F
authors.lastname: Ortac
mesh_terms: D000328:Adult; D000971:Antineoplastic Combined Chemotherapy Protocols / Q000627:therapeutic use; D016190:Carboplatin / Q000627:therapeutic use; D002585:Cesarean Section; D003131:Combined Modality Therapy; D005260:Female; D006801:Humans; D007230:Infant, Low Birth Weight; D007231:Infant, Newborn; D007725:Krukenberg Tumor / Q000188:drug therapy / Q000503:physiopathology* / Q000556:secondary / Q000601:surgery; D008207:Lymphatic Metastasis; D008297:Male; D007752:Obstetric Labor, Premature / Q000209:etiology*; D010051:Ovarian Neoplasms / Q000188:drug therapy / Q000503:physiopathology* / Q000601:surgery; D010052:Ovariectomy; D017239:Paclitaxel / Q000627:therapeutic use; D011247:Pregnancy; D011252:Pregnancy Complications, Neoplastic / Q000188:drug therapy / Q000503:physiopathology* / Q000601:surgery; D011263:Pregnancy Trimester, Third; D058994:Salpingectomy; D016896:Treatment Outcome
chemical_list: D016190:Carboplatin; D017239:Paclitaxel
keywords: Krukenberg tumor; adnexal mass; malignancy in pregnancy; preterm labor; signet ring cell