González-Vela M C, García-Valtuille A I, Fernández F A, Val-Bernal J F
Department of Anatomical Pathology, Marqués de Valdecilla University Hospital, Faculty of Medicine, University of Cantabria, Santander, Spain.
Pathol Int. 1996 Mar;46(3):216-20. doi: 10.1111/j.1440-1827.1996.tb03601.x.
A case of acute gangrenous appendicitis with perforation caused by metastatic small cell carcinoma of the lung in a 65 year old man is reported. The manifestation of appendicitis occurred more than 4 years after the diagnosis of the bronchogenic carcinoma. With longer survival of patients with disseminated tumors it is probable that new manifestations of those malignancies will be discovered. Acute appendicitis due to metastasis from a distant neoplasm should be considered in the differential diagnosis of right lower abdominal pain in the oncology patient.
报告了一例65岁男性因肺转移性小细胞癌导致急性坏疽性阑尾炎伴穿孔的病例。阑尾炎症状出现在支气管源性癌诊断4年多之后。随着播散性肿瘤患者生存期的延长,这些恶性肿瘤可能会出现新的表现。肿瘤患者右下腹痛的鉴别诊断中应考虑远处肿瘤转移引起的急性阑尾炎。