Wang L, Dong Y, Chen YH, Wang YN, Sun L. Accidental discovery of appendiceal carcinoma during gynecological surgery: A case report. World J Clin Cases 2022; 10(22): 8040-8044 [PMID: 36158468 DOI: 10.12998/wjcc.v10.i22.8040]
Corresponding Author of This Article
Lin Sun, MD, PhD, Chief Doctor, Professor, Department of Obstetrics and Gynecology, The Affiliated Hospital of Jining Medical University, No. 89 Guhuai Road, Rencheng District, Jining 272000, Shandong Province, China. 1304336281@qq.com
Research Domain of This Article
Obstetrics & Gynecology
Article-Type of This Article
Case Report
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Clin Cases. Aug 6, 2022; 10(22): 8040-8044 Published online Aug 6, 2022. doi: 10.12998/wjcc.v10.i22.8040
Accidental discovery of appendiceal carcinoma during gynecological surgery: A case report
Lin Wang, Yan Dong, Ya-Hui Chen, Ya-Nan Wang, Lin Sun
Lin Wang, Yan Dong, Ya-Hui Chen, Ya-Nan Wang, Department of Clinical Medicine, Jining Medical University, Jining 272000, Shandong Province, China
Lin Sun, Department of Obstetrics and Gynecology, The Affiliated Hospital of Jining Medical University, Jining 272000, Shandong Province, China
Author contributions: Wang L drafted, reviewed, and revised the manuscript; Sun L was the primary physician during the patient’s inpatient stay; Dong Y, Wang YN and Chen YH provided the images; all authors have read and approved the final manuscript.
Informed consent statement: Informed written consent was obtained from the patient for publication of this report and any accompanying images.
Conflict-of-interest statement: All authors declare that they have no conflict of interest to report.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Lin Sun, MD, PhD, Chief Doctor, Professor, Department of Obstetrics and Gynecology, The Affiliated Hospital of Jining Medical University, No. 89 Guhuai Road, Rencheng District, Jining 272000, Shandong Province, China. 1304336281@qq.com
Received: March 8, 2022 Peer-review started: March 8, 2022 First decision: April 13, 2022 Revised: April 28, 2022 Accepted: June 14, 2022 Article in press: June 14, 2022 Published online: August 6, 2022 Processing time: 135 Days and 14.9 Hours
Abstract
BACKGROUND
Malignant 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 SUMMARY
A 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.
CONCLUSION
Appendiceal carcinoma is frequently found during or after surgery, and both preoperative examination and early evaluation of clinical manifestations are extremely important.
Core Tip: Mucinous adenocarcinoma of the appendix has a low incidence rate and is relatively rare. Increased tumor markers in patients has certain guiding significance. Imaging examination can indicate that the appendix is thickened, and diagnosis depends on histopathology.
