Appearance of Krukenberg Tumor from Gastric Carcinoma, Us and Ct Evaluation Gligorievski A * Department of Medicine, University Surgical Clinic “St. Naum Ohridski” Skopje, Macedonia Volume 1 Issue 1 - 2018 Received Date: 28 May 2018 Accepted Date: 11 June 2018 Published Date: 17 June 2018 1. Abstract 1.1. Introduction: Te Krukenberg tumor is a rare malignant tumor of the ovary, accounting from 1% to 2% of all ovarian tumors. It is usually a bilateral involvement of ovaries from the metastatic deposit from adenocarcinoma of the stomach. 1.2. Patients and methods: We present a patient at the age of 45, who visited a doctor be- cause of pain in the stomach, nausea, and vomiting and weight loss of more than 20 kg. Clini- cal, biochemical, endoscopic, pathohistological, radiological and imaging studies (US and CT) have been performed. Te radiological examination was performed using a monocontrast and double-contrast technique. Te US examination was performed with a 3.75 MHz convex probe, using a standard overview technique. CT was made afer oral administration of 700 ml of water, i.v. application of a non-ionic contrast agent of 90 ml in bolus, in hypotonia achieved by i.v. glucagon application, with a scanning width of 10 mm. 1.3. Presentation of the case: Te radiological fnding is in favor of difuse neoplastic submu- cosal infltration of the stomach wall in the region of the corpus and antrum with expressed desmoplastic reaction (linitis plastica). CT fndings confrm the radiological fndings of the stomach, clearly visualize metastases in the ovaries and peritoneum-ascites, thus diagnosing the primary inoperable neoplastic stomach process - linitis plastica, with metastases in the ovaries - Krukenberg tumor. A comparison of the obtained radiological and imaging results with the endoscopic and pathohistological fndings has been made. 1.4. Conclusion: Krukenberg tumor is an ovarian metastasis of digestive tract cancer. Radio- logical and especially imaging methods have high diagnostic value and accuracy. Clinics of Oncology Citation: Gligorievski A, Appearance of Krukenberg Tumor from Gastric Carcinoma, Us and Ct Evaluation Clinics of Oncology. 2018; 1(1): 1-6 united Prime Publications: http://unitedprimepub.com 3. Introduction Krukenberg tumor is a rare metastatic signet ring cell tumor of the ovary, accounting for 1 2% of all ovarian tumors. Te stomach is the primary site in the majority (75%) of Kruke- nberg tumor cases, followed by carcinomas of the colon, appen- dix, and breast [1-4]. Krukenberg tumor is considered as a late stage disease with poor prognosis and may account for 5 30% of meta¬static cancers to the ovaries. It is bilateral in 80% of the cases [5]. It is commonly metastatic tumors of the ovaries whose primary site is in the stomach to be called Krukenberg’s tumor. It was frst described by Friedrich Krukenberg in 1896 who called it “sarcoma *Corresponding Author (s): Antonio Gligorievski, Department of Medicine, University Clinic of Surgery “St. Naum Ohridski” Skopje, Macedonia, E-mail: atglmed@gmail. coma Case Presentation ovary mucocellulare [6]. Finally, in 1960, Novak described this tu- mor as in fltered mucinocarcinoma with peripheral signet ring cells which sometimes will be observed with glandular structures [7]. Approximately 5% of all carcinomas metastatic to the ovaries are adenocarcinoma with pleomorphic mucin flled signet ring cells [8,9]. Metastatic ovarian carcinoma grows rapidly and reaches the size of a fst up till the size of a child’s head, and, contrary to that, the primary tumor can be very small, and may not giving the slightest signs of its existence and revealing it even at autopsy [10]. Carcinoma of the stomach is a disease of the middle and old age group, with a tendency of shifing this border to a younger age, yet 2. Key words: Signet ring cell gastric carcinoma; Linitis plas- tica; Krukenberg TU; Ovarian mass; US and CT