A case report of primary appendiceal cancer mimicking ovarian cancer

Abstract

Herein, we describe primary appendiceal adenocarcinoma (AACa) mimicking the manifestations of ovarian malignancies. A 55-year-old woman with clinical findings of ovarian cancer underwent laparatomy in which an appendiceal tumor was encountered. Total abdominal hysterectomy, bilateral salpingo-oophorectomy, appendectomy, right hemicolectomy and omentectomy were performed. The final histopathological result demonstrated mucinous adenocarcinoma with signet ring epithelial cells. Therefore, AACa should be kept in mind by gynecological surgeons in the differential diagnosis of ovarian malignancies, since the therapeutic approaches differ from each other.

Key Words: Primary appendiceal cancer, appendiceal adenocarcinoma, ovarian cancer

Keywords

• -

Over kanserini taklit eden primer appendisiyal kanseri olgu sunumu

Abstract

Bu yazıda ovaryan malignansi bulgularını taklit eden bir primer appendisiyal adenokarsinoma olgusu sulunmaktadır. Over kanseri klinik bulgularına sahip 55 yaşındaki bir kadın hastaya yapılan laparatomide appendisiyal tümör ile karşılaşıldı. Total abdominal histerektomi, bilateral salpingo-ooferektomi, appendektomi, sağ hemikolektomi ve omentektomi uygulandı. Histopatolojik sonç taşlı yüzük epitelyal hücreli musinöz adenokarsinom olarak rapor edildi. Appendisiyal adenokarsinom, farklı terapötik yaklaşım içermesi nedeniyle ovaryan malignansilerin ayırıcı tanısında akılda tutulmalıdır.

Anahtar Kelimeler: Primer appendisiyal kanser, appendisiyal adenokarsinom, over kanseri

Keywords

• Primer appendisiyal kanser, appendisiyal adenokarsinom, over kanseri

References

1. -Conte CC, Petrelli NJ, Stulc J, Herrera L, Mittelman A. Adenocarcinoma of appendix. Surg Gynecol Obstet 1988; 166: 451-3.
2. -Ozakyol AH, Saricam T, Kabukcuoglu S, Caga T, Erenoglu E. Primary appendiceal adenocarcinoma. Am J Clin Oncol 1999; 22: 458-9.
3. -Nitecki SS, Wolff BG, Schlinkert R, Sarr MG. The natural history of surgically treated primary adenocarcinoma of the appendix. Ann Surg 1994; 219: 51-7.
4. -Jun S, Shinsuke K, Jon K, Hiroshi U, Tetsuro M, Hirokazu N. Signet ring cell carcinoma of the appendix manifesting as colonic obstruction and ovarian tumors: report of a case. Surg Today. 2009; 39: 235-40.
5. -Valentina RB, Federico C, Antonio DP. Peritoneal seeding from appendiceal carcinoma: A case report and review of the literature. World J Gastrointest Surg 2010; 2: 265-69.
6. -Hoskins WJ. Epithelial ovarian carcinoma.principles of primary surgery. Gynecol Oncol 1994; 55: S91-6.
7. -Hoskins WJ, Bundy BN, Thigpen JT, Omura GA. The influence of cytoreductive surgery on recurrence-free interval and survival in small-Volume stage III epithelial ovarian cancer:a gynecologic oncologic group study. Gynecol Oncol 1992; 47: 159-66.
8. -Carl R, Louay H, Vladimir G, Ghulamullah S, Muhammad WS. Cancers of the appendix: review of literature. ISRN Oncology 2011. doi:10.5402/2011/728579.

9. -Samer ES, Ulrich S, Hans RT, Andreas H, Karsten M. Primary signet ring cell mucinous ovarian carcinoma: a case report and literature review. Case Rep Oncol. 2010; 3: 451-57.
10. -Gehrig PA, Boggess JE, Ollila DW, Groben PA, Van LL. Appendix cancer mimicking ovarian cancer. Int J Gynecol Cancer 2002; 12: 768-72.