我院过去的20年,手术治疗了2864例阑尾炎,在这些手术病人中,发现阑尾癌转移和转移性阑尾癌共4例,现报告这4例罕见病例如下。例1.原发性阑尾腺癌右股骨转移患者男性,44岁。1980年2月在外院因“急性阑尾炎”而手术。术中发现阑尾肿瘤,遂行右半结肠切除术,病理诊断为阑尾腺癌。两年后因右大腿肿痛,在家肌肉注射青、链霉素治疗20天无效来院。右腿无外伤史。查体:右侧腹股沟淋 In the past 20 years, 2864 cases of appendicitis have been surgically treated in our hospital. In these surgical patients, 4 cases of appendix cancer metastasis and metastatic appendix cancer were found. The 4 rare cases are now reported as follows. Example 1. 44-year-old man with primary right femoral metastasis from appendix adenocarcinoma. In February 1980, she was operated on an “acute appendicitis” in an external hospital. The appendix tumors were found during operation and right hemicolectomy was performed. The pathological diagnosis was appendiceal adenocarcinoma. Two years later, due to the swelling and pain of the right thigh, he was ineffective for 20 days at home with intramuscular injection of streptomycin and streptomycin. There is no history of trauma in the right leg. Physical examination: right inguinal hernia