title: Postmenopausal vaginal bleeding as initial presentation of gastric cancer: a case report with literature review of prognostic factors and treatment of krukenberg tumor.
abstract: Postmenopausal vaginal bleeding is a rare presentation of Krukenberg tumor (KT). Here we report a very unusual presentation of gastric cancer in a postmenopausal female patient, who presented with complaint of vaginal bleeding. She was found to have KT of the left ovary after total abdominal hysterectomy and bilateral salpingo-oophorectomy (TAH-BSO). She was subsequently diagnosed with primary gastric cancer. To the best of our knowledge, this is the first case report of KT with a primary T1a gastric cancer and no evidence of metastasis anywhere else except for large ovarian mass.
authors.affiliation: 1 Department of Hematology-Oncology, Saint Joseph's Regional Medical Center, Paterson, New Jersey 07503, USA ; 2 Department of Internal Medicine, Riverview Medical Center, New Jersey 07734; USA ; 3 Department of Medicine, LLH Hospital, Musaffah Industrial Area, Abu Dhabi.
authors.forename: Mehandar
authors.initials: M
authors.lastname: Kumar
authors.affiliation: 1 Department of Hematology-Oncology, Saint Joseph's Regional Medical Center, Paterson, New Jersey 07503, USA ; 2 Department of Internal Medicine, Riverview Medical Center, New Jersey 07734; USA ; 3 Department of Medicine, LLH Hospital, Musaffah Industrial Area, Abu Dhabi.
authors.forename: Abhishek
authors.initials: A
authors.lastname: Kumar
authors.affiliation: 1 Department of Hematology-Oncology, Saint Joseph's Regional Medical Center, Paterson, New Jersey 07503, USA ; 2 Department of Internal Medicine, Riverview Medical Center, New Jersey 07734; USA ; 3 Department of Medicine, LLH Hospital, Musaffah Industrial Area, Abu Dhabi.
authors.forename: Michael
authors.initials: M
authors.lastname: Maroules
authors.affiliation: 1 Department of Hematology-Oncology, Saint Joseph's Regional Medical Center, Paterson, New Jersey 07503, USA ; 2 Department of Internal Medicine, Riverview Medical Center, New Jersey 07734; USA ; 3 Department of Medicine, LLH Hospital, Musaffah Industrial Area, Abu Dhabi.
authors.forename: Vanessa
authors.initials: V
authors.lastname: Abrina
authors.affiliation: 1 Department of Hematology-Oncology, Saint Joseph's Regional Medical Center, Paterson, New Jersey 07503, USA ; 2 Department of Internal Medicine, Riverview Medical Center, New Jersey 07734; USA ; 3 Department of Medicine, LLH Hospital, Musaffah Industrial Area, Abu Dhabi.
authors.forename: Vinod
authors.initials: V
authors.lastname: Kumar
keywords: Krukenberg tumor (KT); gastrectomy; signet ring cell cancer (SRCC)