A diagnostic dilemma of appendicular mass in an elderly patient: a case report and literature review.
J Surg Case Rep
; 2019(3): rjz059, 2019 Mar.
Article
em En
| MEDLINE
| ID: mdl-30891173
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.
Texto completo:
1
Base de dados:
MEDLINE
Tipo de estudo:
Diagnostic_studies
/
Prognostic_studies
/
Systematic_reviews
Idioma:
En
Ano de publicação:
2019
Tipo de documento:
Article