Appendicular adenocarcinoma: Palpable mass in right iliac fossa

Abstract

Introduction: Primary neoplasia of the appendix is ​​a rare entity with a difficult preoperative diagnosis. The most frequent histology is neuroendocrine, representing 50% of cases, while adenocarcinoma represents only 10%, occurring mainly in patients between 62 and 65 years of age.

Clinic Case: 73-year-old female patient who consulted for pain in the right iliac fossa of 5 months of evolution associated with a palpable mass of approximately 6 x 6 cm, partially mobile. Abdominopelvic tomography, circumferential and irregular parietal thickening of the cecum. Elevated tumor markers. Right hemicolectomy was performed with oncological criteria. Pathological anatomy, intestinal variant appendix adenocarcinoma with 2 positive nodes out of 12. Good clinical evolution. Currently in adjuvant treatment.

Conclusion: A rare case of colonic appendicular adenocarcinoma is presented. On this occasion, it was presented as a palpable, painful mass, of evolution time, added to it, the imaging and humoral evidence, allowed to suspect the presence of a neoplastic pathology, for which it was decided to electively perform a right hemicolectomy and with oncological criteria, thus obtaining a suitable piece for postoperative staging and subsequent oncological treatment.

Key Words: appendicular adenocarcinoma-palpable mass-hemicolectomy