A 49-year-old woman was admitted because of early gastric carcinoma. Subtot
al gastrectomy was performed. In the resected specimen, gastric mucosal car
cinoma without lymph node metastases was located in the prepyloric region.
Histologic type was moderately differentiated adenocarcinoma and signet-rin
g cell carcinoma, and there was no lymphatic or venous invasion. One year a
fter operation, a left ovarian tumor was detected. At the second operation,
bilateral oophorectomy and hysterectomy were performed. Pathological findi
ngs revealed Krukenberg tumors originating from the gastric carcinoma in th
e bilateral ovaries. One year after the second operation, a hard mass due t
o cancer recurrence developed in the pelvis with symptoms including tenesmu
s and abdominal pain. Chemotherapy and palliative colostomy were performed.
She died of peritonitis carcinomatosa. six years and two months after the
first operation. We experienced a rare case of Krukenberg tumor with two in
teresting points; its origin was gastric mucosal carcinoma without lymphati
c or venous invasion, and the patient survived for more than four years aft
er the diagnosis.