Full Text of PDF (482k)
Article in Japanese
Abstract
Case Report
A case of appendiceal metastasis of lung cancer diagnosed from acute appendicitis
Tomonobu Kawaguchia Yuzo Yamamotoa Shin Takesueb Hirofumi Yamamotob Yutaka Nakashimac Miiru Izumia
aDepartment of Respiratory Medicine, Fukuoka Red Cross Hospital
bDepartment of Surgery, Fukuoka Red Cross Hospital
cDepartment of Pathology, Fukuoka Red Cross Hospital
ABSTRACT
The patient was a 70-year-old female diagnosed with lung adenocarcinoma stage IV (cT1aN1M1b) in March 2012. Based on this diagnosis, she had received chemotherapy with cisplatin plus pemetrexed for two cycles. Although she was admitted to our hospital for third cycle of her chemotherapy in May 2012, treatment was held because of her abdominal pain. Physical examination showed mild right iliac fossa tenderness. Abdominal computed tomography showed a swelling of the appendix. We considered these findings to be consistent with acute appendicitis. An appendectomy was performed, and pathologic findings showed metastasis to the appendix from lung cancer. It was suggested that luminal obstruction of the appendix by the metastatic mass had caused acute appendicitis in this case.
KEYWORDS
Adenocarcinoma of the lung Appendiceal metastasis Acute appendicitis
Received 19 Sep 2014 ／ Accepted 12 Dec 2014
AJRS, 4(2): 149-152, 2015
Copyright © The Japanese Respiratory Society All Rights Reserved.