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Published on: August 24, 2019
Primary malignant lymphoma of the appendix associated with acute appendicitis
1Department of General Surgery, Barnsley District General Hospital, Barnsley, South Yorkshire, UK. mshiwani@yahoo.com
Journal of the College of Physicians and Surgeons--Pakistan : JCPSP
|January 31, 2006
Summary
Appendiceal lymphomas are rare gastrointestinal cancers. This case highlights the importance of routine histology in diagnosing these rare appendix cancers presenting as appendicitis.
Area of Science:
- Gastrointestinal oncology
- Surgical pathology
Background:
- Malignant lymphoma accounts for 1-4% of gastrointestinal neoplasms.
- Appendiceal lymphomas represent an extremely rare subset, with only 0.015% of gastrointestinal lymphomas occurring in the appendix.
Observation:
- A rare case of localized malignant lymphoma of the appendix presented with clinical features mimicking acute appendicitis.
- Histological examination revealed features of acute inflammation alongside the lymphoma.
Findings:
- Appendectomy alone was performed as treatment.
- A three-year follow-up showed no evidence of recurrent disease, suggesting localized presentation and successful initial management.
Implications:
- This case underscores the critical role of routine histological examination of appendectomy specimens.
- Early and accurate diagnosis of rare appendiceal malignancies is essential for appropriate patient management and prognosis.
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