Abstract
Signet cell carcinomas are often aggressive tumours. A patient with this tumour, originally located in the appendix, was diagnosed with peritoneal metastases. When she later got abdominal symptoms, computer axial tomography indicated large infiltrating tumour masses in the pelvis. However, when a laparotomy was performed, the only macroscopic tumour masses was localised to the ovaries (Krukenberg tumour). The surgical intervention gave the patient an improved quality of life, and most likely prolonged survival. We stress the importance of thinking of this possibility.
MeSH terms
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Abdominal Neoplasms / diagnosis
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Abdominal Neoplasms / diagnostic imaging
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Abdominal Neoplasms / secondary*
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Abdominal Neoplasms / surgery
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Adult
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Appendiceal Neoplasms / diagnosis*
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Appendiceal Neoplasms / surgery
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Carcinoma, Signet Ring Cell / diagnosis
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Carcinoma, Signet Ring Cell / diagnostic imaging
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Carcinoma, Signet Ring Cell / secondary*
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Carcinoma, Signet Ring Cell / surgery
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Diagnosis, Differential
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Female
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Humans
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Intestinal Neoplasms / diagnosis
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Intestinal Neoplasms / diagnostic imaging
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Intestinal Neoplasms / secondary
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Intestinal Neoplasms / surgery
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Krukenberg Tumor / diagnosis
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Krukenberg Tumor / diagnostic imaging
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Krukenberg Tumor / secondary
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Krukenberg Tumor / surgery
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Ovarian Neoplasms / diagnosis
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Ovarian Neoplasms / diagnostic imaging
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Ovarian Neoplasms / secondary
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Ovarian Neoplasms / surgery
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Tomography, X-Ray Computed