Varga Sándor, Konczili Vendel, Zemanek Péter, Francz Mónika, Nábrádi Zoltán
Szabolcs-Szatmár-Bereg megyei Onkormányzat Jósa András Kórház, l sz Sebészeti Osztály.
Magy Seb. 2005 Oct;58(5):334-6.
A 45 year-old woman was referred to the Emergency Department of Jósa András County Hospital with typical history and signs of appendicitis. Other than abdominal findings during physical examination we discovered a palpable mass in the right breast. The patient was transferred to the Department of Surgery and she was operated on, appendicectomy was performed. Following the uncomplicated postoperative course investigations were carried out to diagnose the mass in the right breast (mammography, ultrasound, chest X-ray, bone scan). The pathology report of the appendix suggested the possibility of a metastasis of ductal breast carcinoma in the perforated appendix. Probably the inflammation was caused by the infiltration of the appendix wall leading to perforation. Following the investigations a right-sided mastectomy was performed with dissection of axillary lymph nodes. Immunohistochemical examination definitely proved that the metastasis in the appendix originated from the breast tumour.
一名45岁女性因典型的阑尾炎病史和体征被转诊至约萨·安德拉什县医院急诊科。除了体格检查时的腹部发现外，我们在其右乳发现了一个可触及的肿块。患者被转至外科，接受了手术，进行了阑尾切除术。术后恢复顺利，随后进行了一系列检查以诊断右乳肿块（乳房X线摄影、超声、胸部X线、骨扫描）。阑尾的病理报告提示穿孔性阑尾中存在乳腺导管癌转移的可能性。可能是阑尾壁的浸润导致炎症进而穿孔。检查后进行了右侧乳房切除术及腋窝淋巴结清扫术。免疫组化检查明确证实阑尾中的转移瘤起源于乳腺肿瘤。
