Paper II
2024 December (Supplementary) (2019 Scheme) · 100 marks · 180 min

Question

Krukenberg tumour of the ovary is an example of

  • a) Hematogenous spread
  • b) Lymphatic spread
  • c) Transceloemic spread
  • d) Perineural spread Question numbers (vi)-(x) are multiple response type questions. Read the statements & mark the answers appropriately.
Qv1 marksMCQs

Answer

Correct answer: c) Transceloemic spread

Krukenberg tumour is a bilateral, metastatic, mucin-producing (signet-ring cell) ovarian tumour, most classically originating from a primary gastric carcinoma. The mechanism is transcoelomic spread — tumour cells shed from the primary site seed across the peritoneal cavity and implant on the ovarian surface (haematogenous or retrograde lymphatic spread may also contribute in some cases, but transcoelomic spread is the classic mechanism taught).

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