Krukenberg tumor

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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