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- Title
A diagnostic dilemma of appendicular mass in an elderly patient: a case report and literature review.
- Authors
Chandradevan, Raguraj; Rutkofsky, Ian H; Campana, Mary Charmaine E; Kaur, Harkirat; Kitchen, Felisha L; Odum, Craig C; Devereaux, Randolph S; Colquitt, James D; Hamler, Sarah E; IV, John T Williams
- Abstract
Primary appendicular adenocarcinoma is a rare tumor, mucinous variety, being most common. The case presentation highlights the unusual appearance and diagnostic dilemma of an appendicular adenocarcinoma. Our elderly patient presented with an ill-defined tender lump which later was diagnosed as a perforated appendicular adenocarcinoma, responsive to single-staged surgery and adjunct chemotherapy. We considered the single-staged surgery since the appendix was perforated and right colectomy would not aid the prognosis. High index of clinical suspicion for malignancy should be kept in mind for elderly patients presenting with an appendicular lump. Every effort should be made during the elective surgery to remove the mass during the single-staged surgery.
- Subjects
OLDER patients; LITERATURE reviews; MUCINOUS adenocarcinoma; RIGHT hemicolectomy; ELECTIVE surgery; DILEMMA
- Publication
Journal of Surgical Case Reports, 2019, Vol 2019, Issue 3, pN.PAG
- ISSN
2042-8812
- Publication type
Article
- DOI
10.1093/jscr/rjz059