{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,7]],"date-time":"2026-08-07T15:18:52Z","timestamp":1786115932105,"version":"build-2736575974"},"reference-count":13,"publisher":"Pensoft Publishers","issue":"4","license":[{"start":{"date-parts":[[2026,8,6]],"date-time":"2026-08-06T00:00:00Z","timestamp":1785974400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["FM"],"abstract":"<jats:p>\n                    <jats:bold>Abstract<\/jats:bold>\n                  <\/jats:p>\n                  <jats:p>Ovarian cancer has the highest mortality rate among gynecological malignancies. Metastatic sites are most commonly found in the peritoneum, pelvic organs, and lymph nodes, followed by the liver, distant lymph nodes, lungs, bones, and brain. There have only been a few reports of distant metastases in the stomach.<\/jats:p>\n                  <jats:p>Herein, we present a rare case of a 59-year-old woman with high-grade serous ovarian carcinoma with a single metastasis in the stomach. The post-surgery follow-up was performed with 18F-FDG PET\/CT. The patient remained recurrence-free for 3 years. On a routine follow-up PET\/CT scan, an intramural hypermetabolic lesion in the stomach, suggestive of GIST, was detected. A biopsy confirmed a metastasis from high-grade serous ovarian carcinoma. A \u201cReverse Krukenberg\u201d tumor\u2014a gastric metastasis from ovarian cancer\u2014is extremely uncommon. The exact mechanism of spreading to the stomach is still unknown. Even though gastric metastasis from ovarian carcinoma is uncommon, we advise clinicians to stay mindful of the potential for gastric metastasis in patients with a history of ovarian cancer.<\/jats:p>","DOI":"10.3897\/folmed.68.e153213","type":"journal-article","created":{"date-parts":[[2026,8,6]],"date-time":"2026-08-06T06:18:30Z","timestamp":1785997110000},"source":"Crossref","is-referenced-by-count":0,"title":["A gastric metastasis from ovarian carcinoma mimicking GIST \u2013 a case report"],"prefix":"10.3897","volume":"68","author":[{"given":"Teodor","family":"Sofiyanski","sequence":"first","affiliation":[{"name":"Acibadem City Clinic Tokuda, Sofia, Bulgaria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elena","family":"Popova","sequence":"additional","affiliation":[{"name":"Acibadem City Clinic Tokuda, Sofia, Bulgaria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sonya","family":"Sergieva","sequence":"additional","affiliation":[{"name":"Acibadem City Clinic Tokuda, Sofia, Bulgaria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bozhil","family":"Robev","sequence":"additional","affiliation":[{"name":"UH \u201cSt. Ivan Rilski, Sofia, Bulgaria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Boryana","family":"Ilcheva","sequence":"additional","affiliation":[{"name":"Military Medical Academy, Sofia, Bulgaria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Albena","family":"Fakirova","sequence":"additional","affiliation":[{"name":"Military Medical Academy, Sofia, Bulgaria"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"2258","published-online":{"date-parts":[[2026,8,6]]},"reference":[{"key":"153213_B1"},{"key":"153213_B2"},{"key":"153213_B3"},{"key":"153213_B4"},{"key":"153213_B5"},{"key":"153213_B6","doi-asserted-by":"publisher","DOI":"10.1002\/1097-0142(19900401)65:7%3C1596::aid-cncr2820650724%3E3.0.co;2-5"},{"key":"153213_B7"},{"key":"153213_B8","unstructured":"Aziz M, Killeen RB, Carlson K, et al. Krukenberg tumor. [Updated 2024 Apr 20]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2025 Jan-. Available from: https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK482284\/."},{"key":"153213_B9"},{"key":"153213_B10"},{"key":"153213_B11"},{"key":"153213_B12","doi-asserted-by":"crossref","unstructured":"Gallo D, Ferlini C, Scambia G. The epithelial-mesenchymal transition and the estrogen-signaling in ovarian cancer. Curr Drug Targets 2010; 11:474\u201381.","DOI":"10.2174\/138945010790980385"},{"key":"153213_B13","doi-asserted-by":"crossref","unstructured":"Ponnusamy MP, Lakshmanan I, Jain M, et al. MUC4 mucin-induced epithelial to mesenchymal transition: a novel mechanism for metastasis of human ovarian cancer cells. Oncogene 2010; 29:5741\u201354.","DOI":"10.1038\/onc.2010.309"}],"container-title":["Folia Medica"],"original-title":[],"link":[{"URL":"https:\/\/foliamedica.bg\/article\/153213\/download\/pdf\/","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/foliamedica.bg\/article\/153213\/download\/xml\/","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/foliamedica.bg\/article_preview.php?id=153213&skip_redirect=1","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,6]],"date-time":"2026-08-06T06:18:31Z","timestamp":1785997111000},"score":1,"resource":{"primary":{"URL":"https:\/\/foliamedica.bg\/article\/153213\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,8,6]]},"references-count":13,"journal-issue":{"issue":"4","published-online":{"date-parts":[[2026,8,6]]}},"URL":"https:\/\/doi.org\/10.3897\/folmed.68.e153213","relation":{},"ISSN":["1314-2143","0204-8043"],"issn-type":[{"value":"1314-2143","type":"electronic"},{"value":"0204-8043","type":"print"}],"subject":[],"published":{"date-parts":[[2026,8,6]]},"article-number":"e153213"}}