부산대학교 도서관

We report a rare case of intra-mucosal gastric carcinoma with a Krukenberg's tumor. Only 7 cases have been reported in Japanese medical literature. The case is of a 35-year-old woman who received a right oophorectomy and a left enucleation of ovarian tumor in Jan. 1998. The tumor was histopathologically classified as a singet ring cell carcinoma, which was suspected to have been a metastatic ovarian tumor. But postoperative studies revealed no primary carcinoma in the gastrointestinal tract, the lungs, the breasts nor the thyroid glands. After 3 years and 4 months from the first operation, we found an early gastric carcinoma of the IIc-type on the lesser curvature of the upper potion of the gastric body. The biopsy specimens were diagnosed as a signet ring cell carcinoma, and a proximal gastrectomy was performed. There was some metastasis in the regional lymph nodes (n1). Because there were no ascites nor peritoneal disseminations, the lymphatic spread of the cancer cells to the ovaries was considered as the most possible pathway of metastasis.