Tarantino L, Di Sario P, Nasto R A, Nasto A, Pellegrini L, Sellitto S
Department of Surgery, Interventional Hepatology Unit, Luigi Curto Hospital, Polla, Italy.
Department of Medicine, Institute of Radiology, University of Udine, Udine, Italy.
J Ultrasound. 2025 Apr 29. doi: 10.1007/s40477-025-01021-y.
Appendiceal tumors (AT) are rare gastrointestinal cancers with high incidence of synchronous and metachronous colorectal cancer metastases. AT are rarely associated with hepatic metastases. Sometimes, metastases are the first evidence of the tumor. We report the clinical, surgical and imaging records of a female patient, 81 years old, admitted for a suspect liver abscess, only subsequently diagnosed as metastasis from an undiagnosed AT. Ultrasound (US) based imaging techniques, such as Color-Doppler Ultrasound, Contrast enhanced US, US-guided biopsy of the hepatic nodule played an important role in the assessment of the definitive diagnosis.
阑尾肿瘤（AT）是罕见的胃肠道癌症，同时性和异时性结直肠癌转移的发生率很高。AT很少与肝转移相关。有时，转移是肿瘤的首个证据。我们报告了一名81岁女性患者的临床、手术和影像学记录，该患者因疑似肝脓肿入院，后来才被诊断为未确诊的AT转移。基于超声（US）的成像技术，如彩色多普勒超声、超声造影、肝结节的US引导活检在最终诊断评估中发挥了重要作用。
