Rare Case of Synchronous Primary Malignancies Gall Bladder and Ovary Tumors A Clinical Insight

Case Overview:
The patient, a 48-year-old female, presented with post-menopausal bleeding, abdominal pain, and distension. On examination, a large abdominopelvic mass was detected. Despite normal tumor marker levels, imaging revealed a polypoidal gall bladder mass and a cystic pelvic mass, with a suspicion of a Krukenberg tumor.

  • Clinical Features:
    • Post-menopausal bleeding
    • Abdominal tenderness
    • Strong family history of ovarian cancer
  • Diagnostic Investigations:
    • Ultrasonography and MRI findings
    • Histopathology reports confirming synchronous tumors

Surgical Management and Histopathology:
The patient underwent radical surgery, including hysterectomy, lymphadenectomy, and cholecystectomy. The final histopathology confirmed serous carcinoma of both ovaries and a moderately differentiated adenocarcinoma of the gall bladder. The precise diagnosis enabled effective management and treatment.

Treatment and Outcome:
Postoperatively, the patient received chemotherapy and is currently doing well, one year after treatment. This highlights the positive impact of accurate diagnosis in synchronous malignancies.

Integration of External Medical Sources

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