Gynaecological imaging: Krukenberg tumour: practice question

A Radiology question in the style of the NEET PG paper. Answer it first, then read why the right option is right and why each of the others is wrong.

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Radiology · Gynaecological imaging: Krukenberg tumour

Sample item

A 50-year-old woman with a previously resected gastric signet-ring cell carcinoma has bilateral solid ovarian masses with preserved ovarian contour on CT. What is the likely diagnosis?

Original practice item, not a recalled exam question. Nothing here is recorded.

The answer and the reasoning

A. Krukenberg tumour from metastatic gastric cancer

Krukenberg tumours are bilateral ovarian metastases, most often from gastric cancer, with mucin-filled signet ring cells. The masses are solid and often retain the ovarian shape. Dermoids contain fat and calcification.

Option by option

  • A. Krukenberg tumour from metastatic gastric cancer (correct)

    Correct. Bilateral solid ovarian masses after gastric cancer suggest Krukenberg tumour.

  • B. Bilateral serous cystadenoma

    Serous cystadenomas are cystic.

  • C. Bilateral dermoid cysts

    Dermoids contain fat and calcification.

  • D. Polycystic ovaries

    Polycystic ovaries show multiple small peripheral follicles.

Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.

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Questions about this Radiology question

What is the answer to this Radiology question?

The best answer is A, Krukenberg tumour from metastatic gastric cancer. Krukenberg tumours are bilateral ovarian metastases, most often from gastric cancer, with mucin-filled signet ring cells.

Why is "Bilateral serous cystadenoma" not the answer?

Serous cystadenomas are cystic.

Why is "Bilateral dermoid cysts" not the answer?

Dermoids contain fat and calcification.

Why is "Polycystic ovaries" not the answer?

Polycystic ovaries show multiple small peripheral follicles.

What concept does this question test?

It tests Gynaecological imaging: Krukenberg tumour in Radiology. The masses are solid and often retain the ovarian shape. Dermoids contain fat and calcification.

How hard is this question?

We tag it as a multi-step question: it asks you to combine more than one idea. The tag is our own editorial judgement, not an official difficulty rating, so read the reason for every option, not only the answer.

How should I study Gynaecological imaging: Krukenberg tumour?

Learn signs with the image, and the disease they point to. Then use the flashcards and the other Radiology questions on this site to test what stuck.

Is this a real NEET PG question?

No. It is an original practice item (editorial status: sample, version 1). NextPrep does not publish recalled or leaked questions, and independent faculty review of this item has not been completed yet, so confirm important facts in a standard textbook.