Abstract

A case of preoperatively diagnosed early carcinoma of the appendix is reported. A 78-year-old woman was admitted to the hospital complaining of lower abdominal pain. Barium enema revealed an elevated lesion of the cecum, and adenocarcinoma of the appendix was diagnosed by colon fiberscopy. Right hemicolectomy with D3 lymph node disection was subsequently carried out. Pathological examination demonstrated intramucosal adenocarcinoma limited to the mucosa. This case of early cancer of the appendix is the second case diagnosed preoperatively. We must be careful in treating appendicitis, taking the possibility of carcinoma into consideration.

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