Maddox P R
University Department of Surgery, University of Wales College of Medicine, Heath Park, Cardiff.
Br J Clin Pract. 1990 Sep;44(9):376-8.
A patient developing acute appendicitis and intestinal obstruction secondary to metastatic breast carcinoma is described. This rare occurrence may become more common with improved survival in cases of advanced breast malignancy. The intrinsic nature of malignant metastases in the appendix, with or without concurrent immunosuppressive chemotherapy, leads to a late presentation of appendicitis with a high incidence of perforation, associated with an increased mortality and morbidity. It is suggested that appendicectomy should be undertaken as a routine in patients with carcinoma of the breast when oophorectomy or laparotomy is to be performed.
本文描述了一名因转移性乳腺癌继发急性阑尾炎和肠梗阻的患者。随着晚期乳腺癌患者生存率的提高，这种罕见情况可能会变得更加常见。阑尾恶性转移的内在性质，无论是否同时进行免疫抑制化疗，都会导致阑尾炎出现较晚，穿孔发生率高，死亡率和发病率增加。建议在对乳腺癌患者进行卵巢切除术或剖腹手术时，应常规进行阑尾切除术。
