Document Detail

Acute appendicitis as primary symptom of prostatic adenocarcinoma: report of a case.
MedLine Citation:
PMID:  21114214     Owner:  NLM     Status:  MEDLINE    
The most common disease ofappendix is acute appendicitis. There have been at least 20 case reports of metastasis-induced appendicitis in English literature. The authors reported a 62-year-old Thai man who underwent appendectomy due to classical symptoms and signs of acute appendicitis and was subsequently referred to Siriraj Hospital for proper management after a pathological report of metastatic adenocarcinoma to the appendix. By morphology, the primary site was thought to be the prostate gland. Confirmation was done based on serum PSA study, transrectal ultrasound-guided core needle biopsy, and review of the material from Hua Hin Hospital. Orchidectomy was performed with satisfactory outcome. The patient was doing well for two years before upper gastrointestinal hemorrhage and obstructive jaundice caused by another aggressive tumor developed. He died of the second tumor associated with subsequent renal failure in spite of good response to orchidectomy.
Samrerng Ratanarapee; Chaiyong Nualyong
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Journal of the Medical Association of Thailand = Chotmaihet thangphaet     Volume:  93     ISSN:  0125-2208     ISO Abbreviation:  J Med Assoc Thai     Publication Date:  2010 Nov 
Date Detail:
Created Date:  2010-11-30     Completed Date:  2010-12-21     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7507216     Medline TA:  J Med Assoc Thai     Country:  Thailand    
Other Details:
Languages:  eng     Pagination:  1327-31     Citation Subset:  IM    
Department of Pathology, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand.
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MeSH Terms
Adenocarcinoma / secondary*,  surgery
Appendiceal Neoplasms / diagnosis,  secondary*,  surgery
Appendicitis / complications,  diagnosis*,  surgery
Asian Continental Ancestry Group
Diagnosis, Differential
Middle Aged
Neoplasm Metastasis
Prostate-Specific Antigen / blood
Prostatic Neoplasms / pathology*,  surgery
Treatment Outcome
Reg. No./Substance:
EC Antigen

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