MALT lymphoma of the appendix
History of treatment for gastric lymphoma several years before. Hypoechogenic mass in the lower right abdomen on ultrasound.
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Diffuse infiltration of the ileocaecal region and the appendix by neoplastic tissue. Central fluid inclusion (or necrosis) within the appendix. Enlarged node anterior to the inferior vena cava.
(Images provided by Dr. Karsten Rupp)
Recurrent MALT lymphoma.