Presentation
Abdominal pain and progressive distension.
Patient Data
Massive pleural effusion is present at right side causing mild adjacent parenchymal collapse. Additionally, a little amount pleural effusion is seen at left side. A few small calcified nodules less than 3mm scattered at both lung fields. There are also several atelectatic bands scattered bilaterally.
Case Discussion
Gastric antral and pylorus wall thickening (pathology proven signet ring adenocarcinoma)
with bilateral ovarian cystic solid masses (Krukenberg tumor); moderate ascites and pleural effusion.
Krukenberg tumor refers to the "signet ring" subtype of metastatic tumor to the ovary. The colon and stomach are the most common primary tumors to result in ovarian metastases, followed by the breast, lung, and contralateral ovary.
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