Late stage diagnosis of mucinous adenocarcinoma of the appendix: a case report of an unusual tumor with a rare presentation
Abstract Background The incidence of mucinous appendiceal adenocarcinomas (MAA) has increased over the past three decades. Advanced stage tumor diagnosis is likely attributable to non-specific findings. Here we describe advanced stage appendiceal MAA presenting as inguinal ulcers, scrotal abscesses,...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2020-08-01
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| Series: | BMC Gastroenterology |
| Subjects: | |
| Online Access: | http://link.springer.com/article/10.1186/s12876-020-01378-w |
| _version_ | 1818291695456878592 |
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| author | Katerina Roma Mark Baldwin Daniel Sedmak Matthew Silva William Stellar Gina Many |
| author_facet | Katerina Roma Mark Baldwin Daniel Sedmak Matthew Silva William Stellar Gina Many |
| author_sort | Katerina Roma |
| collection | DOAJ |
| description | Abstract Background The incidence of mucinous appendiceal adenocarcinomas (MAA) has increased over the past three decades. Advanced stage tumor diagnosis is likely attributable to non-specific findings. Here we describe advanced stage appendiceal MAA presenting as inguinal ulcers, scrotal abscesses, and other nonspecific symptoms. To our knowledge, this is the first report of MAA presenting as inguinal pain with inflamed phlegmonous tissue and scrotal abscess. Case presentation A 67-year-old male presented to a rural facility complaining of weight-loss, fatigue, hematuria, dysuria, painful right inguinal ulceration, and right scrotal abscess drainage. Computed tomography of the abdomen and pelvis revealed a distended appendix (> 1.3 cm) and a fistula between the appendix, urinary bladder, right scrotum, and right groin. Laparoscopic appendectomy was performed and diagnosed as MAA. After a right hemicolectomy, the MAA was staged as pT3b pN0 M0 G2. Conclusion This case highlights a unique presentation of late stage appendiceal MAA. Due to the increased incidence of appendiceal MAAs, reports of unique clinical features are needed to facilitate early diagnosis and intervention, especially in rural settings with limited access to specialists. |
| first_indexed | 2024-12-13T02:48:09Z |
| format | Article |
| id | doaj.art-9d4c29dd825340be86873ce91c22c5f1 |
| institution | Directory Open Access Journal |
| issn | 1471-230X |
| language | English |
| last_indexed | 2024-12-13T02:48:09Z |
| publishDate | 2020-08-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Gastroenterology |
| spelling | doaj.art-9d4c29dd825340be86873ce91c22c5f12022-12-22T00:02:08ZengBMCBMC Gastroenterology1471-230X2020-08-012011410.1186/s12876-020-01378-wLate stage diagnosis of mucinous adenocarcinoma of the appendix: a case report of an unusual tumor with a rare presentationKaterina Roma0Mark Baldwin1Daniel Sedmak2Matthew Silva3William Stellar4Gina Many5Pacific Northwest University of Health SciencesPacific Northwest University of Health SciencesThe Ohio State UniversityCascade Surgical PartnersVeteran’s HospitalCommunity Health of Central WashingtonAbstract Background The incidence of mucinous appendiceal adenocarcinomas (MAA) has increased over the past three decades. Advanced stage tumor diagnosis is likely attributable to non-specific findings. Here we describe advanced stage appendiceal MAA presenting as inguinal ulcers, scrotal abscesses, and other nonspecific symptoms. To our knowledge, this is the first report of MAA presenting as inguinal pain with inflamed phlegmonous tissue and scrotal abscess. Case presentation A 67-year-old male presented to a rural facility complaining of weight-loss, fatigue, hematuria, dysuria, painful right inguinal ulceration, and right scrotal abscess drainage. Computed tomography of the abdomen and pelvis revealed a distended appendix (> 1.3 cm) and a fistula between the appendix, urinary bladder, right scrotum, and right groin. Laparoscopic appendectomy was performed and diagnosed as MAA. After a right hemicolectomy, the MAA was staged as pT3b pN0 M0 G2. Conclusion This case highlights a unique presentation of late stage appendiceal MAA. Due to the increased incidence of appendiceal MAAs, reports of unique clinical features are needed to facilitate early diagnosis and intervention, especially in rural settings with limited access to specialists.http://link.springer.com/article/10.1186/s12876-020-01378-wCase reportAppendiceal cancerInguinal painInguinal ulcerScrotal abscessHematuria |
| spellingShingle | Katerina Roma Mark Baldwin Daniel Sedmak Matthew Silva William Stellar Gina Many Late stage diagnosis of mucinous adenocarcinoma of the appendix: a case report of an unusual tumor with a rare presentation BMC Gastroenterology Case report Appendiceal cancer Inguinal pain Inguinal ulcer Scrotal abscess Hematuria |
| title | Late stage diagnosis of mucinous adenocarcinoma of the appendix: a case report of an unusual tumor with a rare presentation |
| title_full | Late stage diagnosis of mucinous adenocarcinoma of the appendix: a case report of an unusual tumor with a rare presentation |
| title_fullStr | Late stage diagnosis of mucinous adenocarcinoma of the appendix: a case report of an unusual tumor with a rare presentation |
| title_full_unstemmed | Late stage diagnosis of mucinous adenocarcinoma of the appendix: a case report of an unusual tumor with a rare presentation |
| title_short | Late stage diagnosis of mucinous adenocarcinoma of the appendix: a case report of an unusual tumor with a rare presentation |
| title_sort | late stage diagnosis of mucinous adenocarcinoma of the appendix a case report of an unusual tumor with a rare presentation |
| topic | Case report Appendiceal cancer Inguinal pain Inguinal ulcer Scrotal abscess Hematuria |
| url | http://link.springer.com/article/10.1186/s12876-020-01378-w |
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