case_images: PMC3806398_01
case_images: CT abdomen and pelvis. (a) (coronal view) and (b) and (c) (axial views) show an area of irregular wall thickening in the cecum (green arrows).
case_images: CRIM.GM2013-603683.001.jpg
case_images: PMC3806398_01_CRIM.GM2013-603683.001.jpg
case_images: fig1
case_images: Computed tomography (CT) scan of the abdomen and pelvis showed irregular wall thickening in the cecum (Figure 1).
case_images: (a) Core needle biopsy of the left breast shows an invasive, moderately differentiated infiltrating ductal cell carcinoma with microvascular invasion (H&E, 100x). (b) An invasive, poorly differentiated carcinoma (red arrows) involving the intra-abdominal adipose tissue (black arrow) (H&E, 40x) and (c) the serosal aspect of the appendix (blue arrow = appendiceal mucosa; red arrow = serosal tumor) (H&E, 20x) consistent with breast cancer. (d) Tumor in appendiceal serosa (H&E, 100x).
case_images: CRIM.GM2013-603683.002.jpg
case_images: PMC3806398_01_CRIM.GM2013-603683.002.jpg
case_images: fig2
case_images: Histopathologic examination from samples retrieved during the procedure was consistent with an invasive poorly differentiated ER positive carcinoma involving the cecum and appendix (Figures 2(c) and 2(d)) and the intra-abdominal adipose tissue (Figures 2(b) and 3), consistent with a breast cancer as a primary tumor.