A Case of Extensive Stage Small Cell Lung Cancer Presenting as an Acute Appendicitis with Perforation / 결핵및호흡기질환
Tuberculosis and Respiratory Diseases
;
: 230-234, 2008.
Artículo
en Coreano
| WPRIM
| ID: wpr-25461
ABSTRACT
The incidence of appendiceal metastatic cancer is quite low. In particular, in small cell lung cancer, there is a very low incidence of a metastasis to the appendix. A 75-years old man with right lower quadrant pain, cough and sputum was transferred to our hospital. Abdominal CT revealed acute appendicitis with a perforation. The patient underwent surgery. The frozen sections of the tissue obtained during surgery, indicated a malignancy, but a right hemicolectomy was not performed due to the patient's poor general condition. The histology findings of the appendix were identified as a small cell carcinoma. The abdominal CT scan and chest x-ray at admission day showed a mass in the right lower lobe, and a further evaluation of the lesion was performed including positron emission tomography and flexible bronchoscopy with a biopsy. The pathology findings of the lung mass were also small cell lung cancer. The specimens from both sites stained positive for cytokeratin, cluster designation 56, synaptophysin, chromogranin-A and thyroid transcription factor 1. It was concluded that the appendiceal small cell cancer originated from the lung.
Texto completo:
Disponible
Índice:
WPRIM (Pacífico Occidental)
Asunto principal:
Apendicitis
/
Apéndice
/
Esputo
/
Tórax
/
Glándula Tiroides
/
Factores de Transcripción
/
Biopsia
/
Broncoscopía
/
Proteínas Nucleares
/
Incidencia
Tipo de estudio:
Estudio de incidencia
/
Estudio pronóstico
Límite:
Humanos
Idioma:
Coreano
Revista:
Tuberculosis and Respiratory Diseases
Año:
2008
Tipo del documento:
Artículo
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