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Adenocarcinoma of the vermiform appendix
Journal of the American Geriatrics Society
|September 1, 1982
Summary
Primary appendiceal adenocarcinoma is rare but should be considered in elderly patients with appendicitis-like symptoms but no elevated white blood cell count. A case report highlights successful treatment with right hemicolectomy.
Area of Science:
- Gastroenterology
- Oncology
- Geriatric Medicine
Background:
- Primary appendiceal malignancies are uncommon but present diagnostic challenges.
- Appendiceal cancer can mimic acute appendicitis, complicating diagnosis, especially in older adults.
Observation:
- An 88-year-old female presented with symptoms suggestive of acute appendicitis.
- Notably, the patient did not exhibit leukocytosis, a common indicator of infection.
Findings:
- A diagnosis of mucinous adenocarcinoma of the appendix was established.
- Surgical intervention via right hemicolectomy resulted in significant symptom relief.
Implications:
- This case underscores the importance of considering appendiceal cancer in the differential diagnosis for geriatric patients presenting with appendicitis-like symptoms.
- Early diagnosis and surgical management, such as right hemicolectomy, can lead to favorable outcomes.