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Laparoscopic Resection of an Appendix Mucocele in a Breast Cancer Patient

Scarlett Hao1, Roberta Lilly2, Hugo J R Bonatti3

  • 1Vidant Medical Center, Greenville, NC, USA.

Case Reports in Surgery
|November 8, 2018
PubMed
Abstract

Insights

Laparoscopic appendectomy (LA) is a safe option for appendiceal mucocele (AMC) in breast cancer (BC) patients. This approach helps rule out metastatic disease and prevents pseudomyxoma peritonei.

Area of Science:

  • Surgical Oncology
  • Gastrointestinal Surgery

Background:

  • Appendiceal mucocele (AMC) requires surgical removal due to pseudomyxoma peritonei risk.
  • Breast cancer (BC) can rarely metastasize to the appendix, presenting a diagnostic challenge.
  • Laparoscopic appendectomy (LA) is a standard treatment for acute appendicitis and has been suggested for AMC.

Observation:

  • A 45-year-old woman with invasive lobular BC presented with an appendiceal mass detected via CT scan.
  • The patient underwent a bilateral mastectomy followed by LA using a minimal touch technique.
  • The appendix was resected with a 1 cm margin and removed in a retrieval bag.

Findings:

  • Pathology confirmed a benign cystadenoma of the appendix.
  • The patient experienced an uncomplicated postoperative recovery.
  • This case underscores the diagnostic complexity of appendiceal masses in BC patients.

Implications:

  • Appendectomy in BC patients with AMC is crucial for excluding metastatic disease and preventing complications.
  • LA is a safe and effective surgical option for managing AMC in breast cancer patients.
  • Early diagnosis and surgical intervention are vital for optimal patient outcomes.

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