Abstract
Herein, we describe primary appendiceal adenocarcinoma (AACa) mimicking the manifestations of ovarian malignancies. A 55-year-old woman with clinical findings of ovarian cancer underwent laparatomy in which an appendiceal tumor was encountered. Total abdominal hysterectomy, bilateral salpingo-oophorectomy, appendectomy, right hemicolectomy and omentectomy were performed. The final histopathological result demonstrated mucinous adenocarcinoma with signet ring epithelial cells. Therefore, AACa should be kept in mind by gynecological surgeons in the differential diagnosis of ovarian malignancies, since the therapeutic approaches differ from each other. Key Words: Primary appendiceal cancer, appendiceal adenocarcinoma, ovarian cancer
Highlights
Primary appendiceal tumors are rare tumors which are mostly carcinoids
Primary AACas are rare cases that are seldom reported in the literature
The clinical manifestations of these two disorders usually resemble that of ovarian carcinoma
Summary
Primary appendiceal tumors are rare tumors which are mostly carcinoids. Primary appendiceal adenocarcinoma (AACa) represents nearly 0,5% of all cancers of the gastrointestinal tract and 5% of primary appendiceal neoplasms. Bu yazıda ovaryan malignansi bulgularını taklit eden bir primer appendisiyal adenokarsinoma olgusu sunulmaktadır. Over kanseri klinik bulgularına sahip 55 yaşındaki bir kadın hastaya yapılan laparatomide appendisiyal tümör ile karşılaşıldı. Histopatolojik sonç taşlı yüzük epitelyal hücreli musinöz adenokarsinom olarak rapor edildi. Appendisiyal adenokarsinom, farklı terapötik yaklaşım içermesi nedeniyle ovaryan malignansilerin ayırıcı tanısında akılda tutulmalıdır.
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