Abstract
Intoduction: The adenocarcinomas of the appendix are rare tumors of the gastrointestinal truct that often reveal no clear clinical symptoms and are not diagnosed in time. In this study, we analyze a rare case of an incidentally discovered adenocarcinoma of the appendix after appendicectomy. Case presentation: A Greek male patient of 37 years old patient presented to our hospital with signs of acute appendicitis and peritonitis. He underwent appendicectomy as therapeutic treatment. Post operational histological examination revealed in situ carcinoma of the appendix without high hematological tumor markers or visible metastasis in CT scan analysis. We decided to proceed to right hemicolectomy. The patient was discharged without complications and without displaying other symptoms in a monitoring interval of two months after surgery. Conclusion: Adenocarcinomas of the appendix are generally difficult to detect in the early stage leading to significant morbidity and mortality rates. Therefore, it is necessary to execute a very careful histopathological examination and perform a detailed intraperitoneal cleaning during operation, so that any indications of appendix adenocarcinomas in cases of appendectomy won’t be missed or misjudged.
Highlights
IntroductionThe tumors of the appendix are rare carcinomas of the gastrointestinal tracts, most of which are crustaceans, while a small percentage are mucous cystadenocarcinomas, adenocarcinomas, lymphosarcomas, paragangliomas
The tumors of the appendix are rare carcinomas of the gastrointestinal tracts, most of which are crustaceans, while a small percentage are mucous cystadenocarcinomas, adenocarcinomas, lymphosarcomas, paragangliomasHow to cite this paper: Alexiou, K., et al (2014) Adenocarcinoma of the Appendix in Young Men with Acute Appendicitis
The main adenocarcinoma symptoms include acute abdominal pain in the right iliac fossa, signs of peritoneal inflammation, fever, leukocytosis, resulting in the clinical diagnosis of acute appendicitis to lay the foundations of surgical removal of the appendix
Summary
The tumors of the appendix are rare carcinomas of the gastrointestinal tracts, most of which are crustaceans, while a small percentage are mucous cystadenocarcinomas, adenocarcinomas, lymphosarcomas, paragangliomas. How to cite this paper: Alexiou, K., et al (2014) Adenocarcinoma of the Appendix in Young Men with Acute Appendicitis. The main adenocarcinoma symptoms include acute abdominal pain in the right iliac fossa, signs of peritoneal inflammation, fever, leukocytosis, resulting in the clinical diagnosis of acute appendicitis to lay the foundations of surgical removal of the appendix. The appendix carcinoma therapy included the right hemicolectomy, with resection of the related lymph nodes, the same as for the common forms of colon cancer
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