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Primary adenocarcinoma of the appendix
Southern Medical Journal
|August 11, 1975
Summary
Primary adenocarcinoma of the appendix can mimic acute appendicitis. Early diagnosis and right hemicolectomy offer the best chance for survival, with a 5-year survival rate of about 45%.
Area of Science:
- Gastroenterology
- Surgical Oncology
Background:
- Primary adenocarcinoma of the appendix is a rare malignancy.
- It often presents with symptoms indistinguishable from acute appendicitis.
Observation:
- A case is presented where primary appendiceal adenocarcinoma mimicked acute appendicitis.
- Literature review highlights the propensity for early local extension and nodal metastasis.
Findings:
- Right hemicolectomy is the recommended treatment of choice for appendiceal adenocarcinoma.
- This surgical approach, whether primary or secondary to appendectomy, yields an approximate 5-year survival rate of 45%.
Implications:
- Emphasizes the importance of thorough gross and frozen section examination of the appendix during surgery for suspected appendicitis.
- Early diagnosis and definitive surgical management are crucial for improving patient outcomes in appendiceal adenocarcinoma.