Introduction/Background Krukenberg tumors are frequently encountered in the setting of digestive or breast cancer; however, in certain cases pulmonary origin can be also encountered.

Methodology The aim of the current paper is to report two such cases.

Results The first case was the one of a 73 year old female who has been previously investigated for severe weight loss and dysphagia and who was diagnosed with a tumoral mass at the level of the mediastinum in association with a pulmonary nodule measuring 1,5 cm at the level of the left lung and with an ovarian tumor measuring 4/5 cm. the patient was submitted to a laparoscopic adnexectomy, the final diagnostic being of an ovarian pulmonary metastasis. The patient was further submitted to systemic chemotherapy in association with chest radiotherapy; at two year follow up she presented a significant decrease of the adenopathic mass, the disparition of the pulmonary nodule. The second case was the one of a 39 year old patient with previous history of neuroendocrine pulmonary tumor with local invasion and poor response to radiochemotherapy; however during therapy she was diagnosed with bilateral ovarian tumors and ascites which significantly impeded the respiratory function. In order to exclude the presence of a synchronous ovarian cancer and to improve the respiratory function, a total hysterectomy with bilateral adnexectomy was performed; meanwhile 5,5 l of ascites were removed. The histopathological studies demonstrated the metastatic origin of the lesion and enabled the oncologist to administrate a second line cytotoxic therapy. However, the patient died of disease after the first cycle of chemotherapy.

Conclusion Although very rare conditions, Krukenberg tumors from ovarian cancer should be suspected whenever an association of confirmed pulmonary malignancy and incidental suspect ovarian tumors are found.