Cancer of the Appendix – 2017

Recently, September 2017, I encountered a patient with cancer of the appendix. This is rare.   This is most likely my third case of cancer of the appendix in my more than 30 years of surgical practice.

(Note: I have also encountered carcinoid of the appendix, another rare tumor of the appendix.  I remember I wrote a paper on carcinoid of the gastrointestinal tract in 1976 or 1977 during my residency in the Philippine General Hospital.  –https://rojosonsurgicalresidencyinpgh.wordpress.com/2014/02/17/carcinoid-tumors-of-the-gastrointestinal-tract)

ROJoson’s Medical Anecdotal Report

Date of Observation: September 1, 2017

A 24-year-old male underwent removal of appendix (appendectomy for appendicitis).

Intraoperative findings showed a pelvic appendix with bulbous dilatation at the distal end, inflamed with fibrins on the serosal surface.  There were two palpable appendicoliths, one within the bulbous portion and another one at the proximal end.

Here are pictures of the specimen:

IMG_5523

IMG_5527

IMG_5531

IMG_5533

I was surprised when the histopathology result came in showing adenocarcinoma of the appendix.

appendix_ca

Adenocarcinoma of the Appendix_roj_17oct22

With the appendix completely removed (6 cm from the base) and 0.7 in its widest diameter, I recommended close monitoring and check-up.


ROJ@17oct22

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