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Chirurgia (Bucur) ; 102(4): 481-5, 2007.
Article in Romanian | MEDLINE | ID: mdl-17966948

ABSTRACT

This work presents the case of a 62 year-old woman's Krukenberg tumor caused by an adenocarcinoma of the gallbladder. This was the presumptive diagnosis that was confirmed during the operation. The characteristic feature of this case consists of the rarity of the Krukenberg tumors caused by a cancer of the gallbladder, the paraneoplastic pleurisy and the presence of the cells with "a ring with a seal" in the pleural liquid and in the ascites liquid. The paraclinical investigations (echography, computerised tomography) were not able to specify the diagnosis before the operation. The surgical intervention (cholecystectomy and total hysterectomy with bilateral adnexectomy) has had favourable consequences. Nevertheless, the woman died 5 months after the operation.


Subject(s)
Adenocarcinoma/secondary , Gallbladder Neoplasms/pathology , Krukenberg Tumor/secondary , Ovarian Neoplasms/secondary , Adenocarcinoma/diagnosis , Adenocarcinoma/surgery , Ascites/etiology , Cholecystectomy , Fatal Outcome , Female , Gallbladder Neoplasms/diagnosis , Gallbladder Neoplasms/surgery , Humans , Hysterectomy , Krukenberg Tumor/diagnosis , Krukenberg Tumor/surgery , Middle Aged , Ovarian Neoplasms/diagnosis , Ovarian Neoplasms/surgery , Ovariectomy , Pleural Effusion, Malignant/etiology
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