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J Matern Fetal Neonatal Med ; 35(25): 7290-7295, 2022 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-34470118

RESUMEN

Krukenberg's tumor diagnosed in pregnancy is an uncommon situation that raises both diagnosis and medical management issues. We performed a review of the existing literature regarding this pathology, diagnostic means and therapeutic approaches, motivated by a case in our own practice. A 35-year-old primigravida was diagnosed with an adnexal mass during the first trimester prenatal ultrasound. Ultrasound revealed a 10 cm right adnexal mass with multiple septae, richly vascularized, whose presence and characteristics were confirmed by magnetic resonance imaging. Due to the progressively increasing tumor size, laparoscopy was performed with right adnexectomy and peritoneal biopsies. Histopathology diagnosed a metastatic ovarian tumor from a mucinous colorectal adenocarcinoma. After delivery the patient was further investigated and diagnosed with sigmoid cancer. Even though ovarian cancer in pregnancy is rare, adnexal ultrasound is mandatory when scanning during the first trimester to rule out the presence of associated fallopian or ovarian masses.


Asunto(s)
Enfermedades de los Anexos , Tumor de Krukenberg , Neoplasias Ováricas , Embarazo , Femenino , Humanos , Adulto , Tumor de Krukenberg/diagnóstico por imagen , Tumor de Krukenberg/cirugía , Enfermedades de los Anexos/diagnóstico , Enfermedades de los Anexos/patología , Neoplasias Ováricas/diagnóstico por imagen , Neoplasias Ováricas/cirugía , Primer Trimestre del Embarazo , Imagen por Resonancia Magnética
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