Missed Gastric Cancer Metastasis to the Appendix: Case Report and Literature Review
| Autor: | Mohammad Aburahmah, Hadeel Almana, Abdullah AlShammari, Daeya A Alhadid |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
Internal hernia
medicine.medical_specialty Delayed Diagnosis Organoplatinum Compounds medicine.medical_treatment Leucovorin 030204 cardiovascular system & hematology Adenocarcinoma Metastasis 03 medical and health sciences 0302 clinical medicine Postoperative Complications Gastrectomy Stomach Neoplasms Antineoplastic Combined Chemotherapy Protocols Medicine Humans Appendectomy Neoplasm Metastasis Colectomy Incidental Findings Missed Diagnosis business.industry General surgery Cancer Anastomosis Roux-en-Y General Medicine Bowel resection Articles Middle Aged medicine.disease Primary tumor Appendix digestive system diseases medicine.anatomical_structure Appendiceal Neoplasms 030220 oncology & carcinogenesis Abdominal Neoplasms Female Fluorouracil business |
| Zdroj: | The American Journal of Case Reports |
| ISSN: | 1941-5923 |
| Popis: | Patient: Female, 54-year-old Final Diagnosis: Metastatic gastric cancer Symptoms: Incidental finding Medication: — Clinical Procedure: Right extended hemicolectomy Specialty: Surgery Objective: Rare disease Background: Gastric cancer metastasis to the appendix is a rare condition that might present with symptoms of acute appendicitis or remain asymptomatic and be diagnosed incidentally. This report summaries 6 previously reported cases in addition to the presented case. Case Report: We report a 54-years-old female patient who presented with gastric cancer metastasis to the appendix that was found incidentally in the second surgery when she underwent bowel resection due to bowel entrapment in internal hernia, a complication of her primary gastric cancer surgical intervention. Six case-reports on gastric cancer metastasis to the appendix were reviewed. The metastasis was symptomatic in 4 cases, and solitary in 3 cases. The diagnosis was delayed in 4 cases as there was no evidence of metastasis at the diagnosis of the primary tumor; appendectomy was performed in all cases. The prognosis of the cases varied considerably. Conclusions: e question the real incidence of appendiceal metastasis in gastric cancer, and the benefit-risk ratio of appendectomy in every gastrectomy. Guidelines on management of similar cases is also needed. |
| Databáze: | OpenAIRE |
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