Mucinous cystoadenocarcinoma of the appendix. A case report

Abstract

CASE REPORT: The Authors report a case of a 66 years old male patient with mucinous cystoadenocarcinoma of the appendix. Preoperative diagnosis was appendiceal mucocele. At laparatomy was revealed the presence of a large mass of the appendix involving the caecum. No mucinous ascites was present and no mucinous implants on the peritoneum surface. Operation consisted in appendectomy and resection of the caecum bottom. Hystology revealed diagnosis of mucinous cystoadenocarcinoma of the appendix. After two weeks patient underwent right hemicolectomy, he is alive without disease at 36 mounths follow up. Mucinous cystic neoplasms of the appendix is an uncommon disease that is rarely suspected before surgery.

CONCLUSIONS: The Authors stress the importance of an appropriate surgical treatment. Right hemicolectomy appears to be the appropriate treatment with aggressive debulking when mucinous cystoadenocarcinoma is associated with pseudomyxoma peritonei. The role of chemotherapy in the treatment of patients with appendiceal cancers remains controversial. No controlled data on the efficacy of adjuvant chemotherapy are available. All patients with any form of appendiceal tumor appear to have an increased incidence of synchronous and metachronous neoplasms, especially in the gastrointestinal tract, and should be investigated and followed up appropriately.