Appendiceal cancer: the differential diagnosis of a clinical case

The primary appendiceal cancer is one of the rarest malignancies. Its counts for 0.5% of all colon cancer and does not exceed few bips in all surgically removed appendices. The disease does not have specific signs. It can imitate acute appendicitis, its complications, or a disease of uterine appenda...

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Main Authors: G. A. Stashuk, S. E. Dubrova, D. Ya. Smirnova
Format: Article
Language:Russian
Published: MONIKI 2020-01-01
Series:Alʹmanah Kliničeskoj Mediciny
Subjects:
Online Access:https://www.almclinmed.ru/jour/article/view/1189
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author G. A. Stashuk
S. E. Dubrova
D. Ya. Smirnova
author_facet G. A. Stashuk
S. E. Dubrova
D. Ya. Smirnova
author_sort G. A. Stashuk
collection DOAJ
description The primary appendiceal cancer is one of the rarest malignancies. Its counts for 0.5% of all colon cancer and does not exceed few bips in all surgically removed appendices. The disease does not have specific signs. It can imitate acute appendicitis, its complications, or a disease of uterine appendages. The appendiceal cancer is commonly diagnosed during pathomorphological investigation after surgery. A clinical case of a 58-yearold female patient with a tumor of the appendix is presented in the paper. Initially the tumor was thought to be an appendicular infiltrate. During the patient's second hospitalization a differential diagnosis between a uterine appendages tumor and appendicular mucocele was performed. The histological examination identified mucosal adenocarcinoma (G1) of the appendix with invasion into the ileum wall. With the full range of radiation diagnostics that provides additional information to clinical assessment and laboratory work-up it is challenging even for practicians to diagnose the disease. Despite the rare frequency of appendiceal cancer, it should be included into the list for differential diagnosis. The paper presents the basics of the differential diagnosis with special emphasis on the awareness of this disease. The knowledge of specifics of its pre-operative diagnosis could be useful to practitioners.
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spelling doaj.art-6f474f1be3f34e289a19d1d19fae7a772022-12-21T22:58:48ZrusMONIKIAlʹmanah Kliničeskoj Mediciny2072-05052587-92942020-01-0147873373910.18786/2072-0505-2019-47-070686Appendiceal cancer: the differential diagnosis of a clinical caseG. A. Stashuk0S. E. Dubrova1D. Ya. Smirnova2Moscow Regional Research and Clinical Institute (MONIKI)Moscow Regional Research and Clinical Institute (MONIKI)Sergiyev Posad Regional HospitalThe primary appendiceal cancer is one of the rarest malignancies. Its counts for 0.5% of all colon cancer and does not exceed few bips in all surgically removed appendices. The disease does not have specific signs. It can imitate acute appendicitis, its complications, or a disease of uterine appendages. The appendiceal cancer is commonly diagnosed during pathomorphological investigation after surgery. A clinical case of a 58-yearold female patient with a tumor of the appendix is presented in the paper. Initially the tumor was thought to be an appendicular infiltrate. During the patient's second hospitalization a differential diagnosis between a uterine appendages tumor and appendicular mucocele was performed. The histological examination identified mucosal adenocarcinoma (G1) of the appendix with invasion into the ileum wall. With the full range of radiation diagnostics that provides additional information to clinical assessment and laboratory work-up it is challenging even for practicians to diagnose the disease. Despite the rare frequency of appendiceal cancer, it should be included into the list for differential diagnosis. The paper presents the basics of the differential diagnosis with special emphasis on the awareness of this disease. The knowledge of specifics of its pre-operative diagnosis could be useful to practitioners.https://www.almclinmed.ru/jour/article/view/1189appendiceal cancerappendicular infiltrationovarian cancer
spellingShingle G. A. Stashuk
S. E. Dubrova
D. Ya. Smirnova
Appendiceal cancer: the differential diagnosis of a clinical case
Alʹmanah Kliničeskoj Mediciny
appendiceal cancer
appendicular infiltration
ovarian cancer
title Appendiceal cancer: the differential diagnosis of a clinical case
title_full Appendiceal cancer: the differential diagnosis of a clinical case
title_fullStr Appendiceal cancer: the differential diagnosis of a clinical case
title_full_unstemmed Appendiceal cancer: the differential diagnosis of a clinical case
title_short Appendiceal cancer: the differential diagnosis of a clinical case
title_sort appendiceal cancer the differential diagnosis of a clinical case
topic appendiceal cancer
appendicular infiltration
ovarian cancer
url https://www.almclinmed.ru/jour/article/view/1189
work_keys_str_mv AT gastashuk appendicealcancerthedifferentialdiagnosisofaclinicalcase
AT sedubrova appendicealcancerthedifferentialdiagnosisofaclinicalcase
AT dyasmirnova appendicealcancerthedifferentialdiagnosisofaclinicalcase