TY - JOUR
TI - Low-grade Appendiceal Mucinous Neoplasm Presenting as Adnexal Mass: A
Case Report
AU - Pantiora, Eirini V.
AU - Massaras, Dimitrios
AU - Koutalas, John and
AU - Bagiasta, Anastasia
AU - Kontis, Elissaios A.
AU - Fragulidis, Georgios P.
JO - CUREUS
PY - 2018
VL - 10
TODO - 11
SP - null
PB - CUREUS INC
SN - null
TODO - 10.7759/cureus.3568
TODO - appendices mucocele; adnexal mass; surgery; diagnosis; tumor pathology;
treatment; hipec
TODO - An appendiceal mucocele is a dilatation of the appendix and it is the
result of benign or malignant diseases, which cause the obstruction of
the appendix and the consequent accumulation of mucus secretion. The
preoperative diagnosis is difficult due to non-specific clinical
manifestations of the disease. We present a case of an 83-year-old
female patient with a history of breast cancer that was referred to our
hospital for an evaluation of a right adnexal mass discovered during her
yearly follow-up. The patient underwent an exploratory laparotomy with a
provisional diagnosis of a right adnexal mass. A perioperative,
appendiceal mucocele was diagnosed. She underwent a formal appendectomy
and histopathology of the specimen revealed a low-grade mucinous
neoplasm. Appendiceal mucinous neoplasms represent a rare form of
pathology among all appendectomy specimens. A preoperative diagnosis is
difficult due to the lack of specific symptoms and it is often
misdiagnosed as an adnexal mass. The perforation of the appendix and
subsequent extravasation of its contents into the abdominal cavity may
lead to pseudomyxoma peritonei, which has a very poor prognosis if not
treated properly.
ER -