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Metastasis to the Appendix from Lung Adenocarcinoma Manifesting as Acute Appendicitis: A Case Report

肺腺癌轉移至闌尾後以急性闌尾炎表現:個案報告

摘要


肺腺癌轉移至闌尾在臨床上非常少見,轉移導致的闌尾炎更是少見。我們提出一位77歲女性病患,本身是第四期肺腺癌以急性闌尾炎表現,到急診抱怨右下腹痛並發噁心嘔吐十二小時,注射顯影劑的腹部電腦斷層發現闌尾腫脹且腸壁增厚懷疑急性闌尾炎,闌尾切除後病理確診為發現轉移肺腺癌。在經治療急性闌尾炎之後,病患狀況改善出院,於我們的胸腔腫瘤門診繼續接受肺癌的治療。

關鍵字

肺癌 腺癌 急性闌尾炎

並列摘要


Appendix metastasis from lung adenocarcinoma is very rare. Metastasis-induced acute appendicitis is extremely rare. We present the case of a 77-year-old woman with stage IV lung adenocarcinoma who presented with acute appendicitis. She was admitted to the emergency department with complaints of right lower quadrant pain, nausea and vomiting for 12 hours. Contrast-enhanced abdominal computed tomography showed a dilated appendix with a thickened wall suggestive of acute appendicitis. She underwent appendectomy, and the pathological examination of the appendiceal specimen demonstrated metastatic poorly differentiated adenocarcinoma from the lung. After treatment for acute appendicitis, she was discharged and recovered uneventfully, and was then referred to our thoracic oncology department to resume treatment for her lung cancer.

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