CASE REPORT
Recurrence of Carcinoma of Appendix Presenting as Vulvar Swelling: A Case Report Ka Wang Cheung, MBBS, MRCOG, Vincent Y. T. Cheung, MBBS, FRCOG, FRCSC Department of Obstetrics and Gynaecology, Queen Mary Hospital, The University of Hong Kong, Hong Kong, China
Abstract
INTRODUCTION
Background: Adenocarcinoma of the vulva is rare and can develop as metastatic recurrence originating from the appendix. Vulvar swelling can be one of the presenting symptoms and should not be presumed to be lymphedema unless possible malignant metastasis has been excluded.
arcinoma metastasizing to the vulva is rare and can originate from other gynaecological organs, the colon or rectum, the urinary tract, or the breast.1 Vulvar swelling as a result of lymphedema is not uncommon after pelvic lymphadenectomy. We present a case of recurrence of appendiceal cancer at the vulva presenting as a vulvar swelling.
Case: We report a case of vulvar swelling arising after hysterectomy, bilateral salpingo-oophorectomy, pelvic and para-aotic lymphadenectomy, and appendectomy for presumed ovarian malignancy. Pathology revealed stage IV carcinoma of the appendix. The patient presented with vulvar swelling 12 months after the operation. An erythematous vulva with multiple hard nodular growths was found on examination. Biopsy confirmed recurrence of adenocarcinoma of the appendix.
C
THE CASE
Conclusion: Recurrent carcinoma of the appendix can metastasize to the vulva and may present as vulvar swelling.
A 48-year-old woman, gravida 3, para 1, was referred because of vulvar swelling present for 15 months.
Résumé
The patient had first been seen three years before this referral because of abdominal distension and lower abdominal pain. Ultrasonography and CT scanning at that time showed a 9 cm right ovarian mass, a 7 cm left ovarian mass, and ascites. Serum CA 125 was 33.7 kU/L (normal
Recurrence of Carcinoma of Appendix Presenting as Vulvar Swelling: A Case Report Ka Wang Cheung, MBBS, MRCOG, Vincent Y. T. Cheung, MBBS, FRCOG, FRCSC Department of Obstetrics and Gynaecology, Queen Mary Hospital, The University of Hong Kong, Hong Kong, China
Abstract
INTRODUCTION
Background: Adenocarcinoma of the vulva is rare and can develop as metastatic recurrence originating from the appendix. Vulvar swelling can be one of the presenting symptoms and should not be presumed to be lymphedema unless possible malignant metastasis has been excluded.
arcinoma metastasizing to the vulva is rare and can originate from other gynaecological organs, the colon or rectum, the urinary tract, or the breast.1 Vulvar swelling as a result of lymphedema is not uncommon after pelvic lymphadenectomy. We present a case of recurrence of appendiceal cancer at the vulva presenting as a vulvar swelling.
Case: We report a case of vulvar swelling arising after hysterectomy, bilateral salpingo-oophorectomy, pelvic and para-aotic lymphadenectomy, and appendectomy for presumed ovarian malignancy. Pathology revealed stage IV carcinoma of the appendix. The patient presented with vulvar swelling 12 months after the operation. An erythematous vulva with multiple hard nodular growths was found on examination. Biopsy confirmed recurrence of adenocarcinoma of the appendix.
C
THE CASE
Conclusion: Recurrent carcinoma of the appendix can metastasize to the vulva and may present as vulvar swelling.
A 48-year-old woman, gravida 3, para 1, was referred because of vulvar swelling present for 15 months.
Résumé
The patient had first been seen three years before this referral because of abdominal distension and lower abdominal pain. Ultrasonography and CT scanning at that time showed a 9 cm right ovarian mass, a 7 cm left ovarian mass, and ascites. Serum CA 125 was 33.7 kU/L (normal
