Document Detail

Bilateral and multinodular signet-ring stromal tumor of the ovary.
MedLine Citation:
PMID:  20664453     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: Signet-ring stromal tumor of the ovary is a rare, benign sex cord stromal tumor that is typically unilateral. Its distinction from malignant signet-ring cell adenocarcinoma metastatic to the ovary (Krukenberg tumor), is critical. CASE: A 69-year-old gravida 5 woman presented with a 1-week history of right lower abdominal pain. Ultrasonography revealed a 4-cm right adnexal mass. Serum CA 125 and carcinoembryonic antigen were within normal limits. An exploratory laparotomy, partial omentectomy, bilateral salpingo-oophorectomy and peritoneal washing were performed. Solid multinodular masses in both ovaries were identified that histologically corresponded to bilateral signet-ring stromal tumors. CONCLUSION: We report a rare example of signet-ring stromal tumor that is bilateral and multinodular mimicking a Krukenberg tumor. Awareness of this unusual presentation can help prevent incorrect diagnosis.
Gareth K Forde; Charles Harrison; Barbara J Doss; Aviane E Forde; Jay W Carlson
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Obstetrics and gynecology     Volume:  116 Suppl 2     ISSN:  1873-233X     ISO Abbreviation:  Obstet Gynecol     Publication Date:  2010 Aug 
Date Detail:
Created Date:  2010-07-28     Completed Date:  2010-08-24     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0401101     Medline TA:  Obstet Gynecol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  556-8     Citation Subset:  AIM; IM    
Grand Rapids Medical Education and Research Center, Gynecologic Oncology of West Michigan, Department of Pathology, Grand Rapids, Michigan, USA.
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MeSH Terms
Diagnosis, Differential
Krukenberg Tumor / diagnosis*
Ovarian Neoplasms / diagnosis,  pathology*,  surgery
Sex Cord-Gonadal Stromal Tumors / diagnosis,  pathology*,  surgery

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