Occam's razor versus Hickam's dictum: two very rare tumours in one single patient.

摘要: Occam's razor, the principle that a single explanation is most likely in medicine, assumes when patient has multiple symptoms clinician seeks diagnosis rather than diagnosing and different ones. However, as proposed by Hickam’s dictum, sometimes rare diseases occurred only one patient. We present with simultaneous of two tumours, cardiac hemangioma (primary tumour, often misdiagnosed myxoma) an appendiceal mucocele (a lesion appendix can be neoplastic or not). A 71-year-old male presented anorexia, asthenia, fever weight loss for about month. During etiological investigation, mass were detected both lesions required surgical intervention. Cardiac abdominal surgeries uneventful full recovery was achieved. The histological examination showed mucocele.