Krukenberg Tumor: Understanding Ovarian Metastasis from Gastric Cancer

When gastric cancer spreads to the ovaries, it is commonly referred to as a Krukenberg tumor. Krukenberg tumors are the most frequent type of ovarian metastatic cancer, originating from malignant cells that begin in another organ—typically the stomach or colon—and then spread to the ovaries through the bloodstream, lymphatic system, or by direct implantation.

These tumors often develop in both ovaries and may not present with specific symptoms in the early stages. Patients may experience gastrointestinal discomfort such as abdominal pain, bloating, or ascites, which can make diagnosis challenging without proper imaging. Ultrasound or CT scans are typically used to detect abnormal ovarian masses.

Once identified, the treatment approach depends on the patient's overall health and the extent of the disease. Options may include surgery, chemotherapy, or a combination of both. Early detection and a multidisciplinary treatment strategy are crucial for improving outcomes in patients with Krukenberg tumors.

Because these tumors are secondary in nature, addressing the primary cancer source is essential for effective management. Regular follow-ups and personalized care plans are recommended to monitor response to treatment and manage any potential complications.