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Pathology Female Genital Tract 148150af

BA lady with abdominal mass was investigated. On surgery, she was found to have b/1 ovarian masses with smooth surface. On microscopy they revealed mucin secreting cells with signet ring shapes. What is your diagnosis?

A
Dysgerminoma
B
Krukenberg tumour
C
Primary Adenocarcinoma of the ovaries
D
Dermoid cyst
High-Yield Explanation
Ans. (b) Krukenberg tumour(Ref: Robbin's Pathology 9th Ed/Pg 1032; Robbin's Pathology 8th ED/PG 1050; Shaw's Textbook of Gynaecology 15/e pg 425)Krukenberg Tumor*Refers to a metastatic bilateral ovarian malignancy whose primary site is GIT or breast. Q*Composed of cellular or myxomatous stroma with scattered mucin-producing, signet-ring cancer cells, most often of gastric origin (70%) Q*Ca colon, appendix, breast (sp invasive lobular carcinoma), pancreas and gall bladder are other primary sites.

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