15 / 27
Case Reports 2018
Medical Case Reports
ISSN: 2471-8041
Page 62
May 28-29, 2018
London, UK
8
th
Edition of International Conference on
Clinical and Medical Case Reports
Introduction:
The presentation of a rare case for the attention of
younger surgeons.
Case Description:
A 56 year old female patient who underwent
open appendicectomy.
Results:
Histological examination of the removed appendix has
shown “Adenocarcinoma of the appendix in the base of epithelial
adenoma, with negative surrounding lymph nodes’’. Following the
histopathology report the patient has underwent an elective right
hemicolectomy at a later stage.
Conclusions:
The neoplasms of the appendix are rare (1% of
the cases) and are usually expressed as acute appendicitis.
Adenocarcinomas correspond to 10% of the cases of tumors of
the appendix whereas there are three histological types: mucosal
(more often), intestinal (colonic) and Signet- ring cell carcinoma.
The treatment always involves surgical intervention, right
hemicolectomy, which gives a better five year survival rate (73%)
compared to appendicectomy (44%). In some cases a simple
appendicectomy was the treatment of choice if themargins of the
tumor stop at the mucosal or submucosal layer. Chemotherapy
has not been proved to contribute to treatment.
gvelvel@gmail.comAdenocarcinoma of the appendix: case presentation and
literature review
Med Case Rep. 2018, Volume 4
DOI: 10.21767/2471-8084-C1-003
Georgios Velimezis, Argyrios Ioannidis, Andreas Skarpas, Andreas Tellos, Atha-
nasios Zoikas, Petros Siaperas
and
Nikolaos Nikitakis
Sismanogleio General Hospital, Greece