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Accidental discovery of appendiceal carcinoma during gynecological surgery: A case report
Authors:Lin Wang  Yan Dong  Ya-Hui Chen  Ya-Nan Wang  Lin Sun
Affiliation:Lin Wang, Yan Dong, Ya-Hui Chen, Ya-Nan Wang, Department of Clinical Medicine, Jining Medical University, Jining 272000, Shandong Province, ChinaLin Sun, Department of Obstetrics and Gynecology, The Affiliated Hospital of Jining Medical University, Jining 272000, Shandong Province, China
Abstract:BACKGROUNDMalignant tumors of the appendix are extremely rare, constituting about 1% of all gastrointestinal tumors. Generally, pathology identifies these tumors during or after appendectomy because they are difficult to detect at the preoperative stage. This case report aims to introduce the definitive diagnosis and treatment of mucinous adenocarcinoma of the appendix.CASE SUMMARYA 49-year-old female patient came to our hospital with right lower abdominal pain, nausea, and vomiting for three days. There was no change in the menstrual cycle. Gynecological ultrasound showed a cystic, solid mass in the right adnexa. Abdominal enhanced computed tomography showed a thick appendix. Cancer was found on exploration of the appendix during gynecological surgery. The right colon was removed. After surgery, the patient received chemotherapy and is recovering well.CONCLUSIONAppendiceal carcinoma is frequently found during or after surgery, and both preoperative examination and early evaluation of clinical manifestations are extremely important.
Keywords:Abdominal pain   Pelvic mass   Appendix carcinoma   Mucinous adenocarcinoma   Case report
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