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Appendiceal adenocarcinoma with breast metastases
  1. Timothy Davies,
  2. Tarak Chouari,
  3. Christopher Ray and
  4. Suzanne Elgammal
  1. General Surgery, University Hospital Crosshouse, Kilmarnock, UK
  1. Correspondence to Dr Timothy Davies; timothy.davies{at}


Malignant lesions of the vermiform appendix make up a rare subset of colorectal cancer. While colorectal cancer frequently metastasises to the liver, lung, regional lymph nodes and peritoneum, metastasis to the breast is extremely rare. Here, we describe the case of an 84-year-old woman who had the incidental finding of appendiceal adenocarcinoma following emergency laparoscopic appendectomy. She declined further operative or adjuvant treatment for her disease. She represented 1 year later with metastatic appendiceal adenocarcinoma disease to her left breast. A simple mastectomy for symptomatic treatment was performed. In this report, we describe the first case of appendiceal adenocarcinoma metastases to the breast. Due to its rarity, there is a paucity of evidence related to the management of this condition. The limited evidence is reviewed and discussed.

  • breast surgery
  • surgical oncology
  • pathology
  • breast cancer
  • colon cancer

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  • Contributors TD and CR contributed to patient care, formulation of manuscript and editing. TC contributed to formulation of manuscript and editing. SE was project lead, contributed to patient care, formulation of manuscript and editing.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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