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Tumor in small pelvis in a gynecological patient – rare case of benign appendix tumor: case report


Authors: MUDr. Denisa Petrovová;  MUDr. Luboš Minář;  MUDr. Radan Doubek
Authors‘ workplace: LF MU a FN Brno ;  Gynekologicko-porodnická klinika
Published in: Prakt Gyn 2006; 10(2): 69-70

Overview

Aim:
Rare case of benign appendix tumor of suspected gynecological origin in a patient with tumor in small pelvis.

Name and location of clinic:
Obstetrical Gynecological Clinic, Faculty of Medicine, Masaryk University and University Hospital Brno.

Case report:
66-year-old patient with history of myomatous uterus and subsequent abdominal hysterectomy with left side adnexectomy. 13-cm tumor of small pelvis with neoplastic markers elevation was diagnosed at our clinic. Diagnostic laparotomy was performed due to suspected ovarian process with finding of tumor in typical appendix localization. Appendectomy and right side adnexectomy was performed. Histological examination confirmed appendiceal adenoma, right ovarium was without malignant changes. Further oncogynecological follow-up was not indicated.

Conclusion:
Above-described case was a good example of necessity to include appendiceal pathology on a differential list of diagnostics of tumors in small pelvis, especially in right side localization based on topographic anatomy.

Key words:
appendix – tumor in small pelvis – diagnostic laparotomy


Sources

1. Esmer-Sanchez DD, Martinez-Ordaz JL, Roman-Zepeda P et al. Appendiceal tumors: Clinicopathologic review of 5,307 appendectomies. Cir Cir 2004; 72(5): 375–378.

2. Garcia Garcia MA, Trivez Boned MA, Oliva Encina J et al. Appendix mucinous cystadenoma. Actas Urol Esp 2002; 26(2): 139–142.

3. O’Brien GC, Nzewi E, Deasy J. Mucinous neoplasm of the appendix with elevated carcinoembryonic antigen. Ir Med J 2005; 98(8): 240–241.

4. Pay RK, Longacre TA. Appendiceal mucinous tumors and pseudomyxoma peritonei: histologic features, diagnostic problems and purpose classification. Lancet Oncol 2006; 7(1): 69–76.

5. Yamaguchi S, Fujii S, Ike H. Laparoscopic reduction of appendicocecal intussusception due to mucinous cystadenoma in an adult. JSLS 2004; 8(3): 279–282.

6. Yap WM, Tan HW, Goh SC. Appendiceal gastrointestinal stromal tumor. Am I Surg Pathol 2005; 29(11): 1545–1547.

7. Zagrodnik DF jr, Kose DM. Mucinous cystadenoma of the appendix: diagnosis, surgical management and follow up. Curr Surg 2003; 60(3): 341–343.

Labels
Paediatric gynaecology Gynaecology and obstetrics Reproduction medicine
Topics Journals
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