Recurrent urachal mucinous adenocarcinoma presenting as bilateral ovarian tumors on cesarean delivery

Int J Gynecol Cancer. 2009 Dec;19(9):1539-41. doi: 10.1111/IGC.0b013e3181a84177.

Abstract

Secondary ovarian cancers, Krukenberg tumors, are a distinctive subset of metastatic tumors arising from the gastrointestinal tract (stomach, colon, and appendix), the biliary system, the breast, or other genital organs. These tumors account for 5% of all ovarian malignancies. Such metastases could mimic primary mucinous ovarian adenocarcinomas. Metastases from the urinary tract are uncommon. Primary adenocarcinoma of the bladder accounts for less than 1% of all bladder malignancies; one third of these tumors are urachal in origin. Urachal cancers are rare and tend to occur in older men (mean age, 50-60 years); however, it was described previously in a 15-year-old girl. Symptoms include hematuria, dysuria, frequency, urgency, and recurrent urinary tract infections. These tumors have a predilection to locally spread to the surrounding organs. Ovarian metastasis is a rare event and is infrequently reported in literature.

Publication types

  • Case Reports

MeSH terms

  • Abdominal Neoplasms / diagnosis*
  • Abdominal Neoplasms / pathology
  • Abdominal Neoplasms / surgery
  • Adenocarcinoma, Mucinous / diagnosis*
  • Adenocarcinoma, Mucinous / pathology
  • Adenocarcinoma, Mucinous / surgery
  • Adult
  • Cesarean Section*
  • Delivery, Obstetric
  • Diagnosis, Differential
  • Female
  • Humans
  • Ovarian Neoplasms / diagnosis*
  • Pregnancy
  • Pregnancy Complications, Neoplastic / diagnosis*
  • Urachus* / pathology