Appendiceal carcinoma

Case contributed by Chris O'Donnell
Diagnosis almost certain

Presentation

Right iliac fossa pain and vague mass on palpation.

Patient Data

Age: 85 years
Gender: Female
ct

Mass arising at the base of the appendix (separate from the ileocecal valve), expanding the lumen and causing the distal appendix to be distended and fluid-filled.

Case Discussion

Primary appendiceal tumors tend to be mucinous adenocarcinomas and are very rare.  They are usually asymptomatic and present late with diffuse peritoneal metastases, i.e. pseudomyxoma peritonei.

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