ABSTRACT
Presentamos un caso infrecuente de adenocarcinoma de apéndice cecal, la evolución de esta enfermedad, sus complicaciones y las expectativas que genera. Enfatizamos sobre el seguimiento en estos casos así como la importancia de contar con un equipo multidisciplinario formado por cirujanos, clínico y radioterapeutas oncólogos.
We present an uncommon case of cecal appendix adenocarcinoma, the evolution of the disease, along with its complications and the expenses that will follow this mortal disease. We will also emphasize which is the conduct to follow in these type of cases as well as the importance of counting with a multidiscliplinary specialized oncological team formed by surgeons, clinicians and oncological radiotherapists.
Subject(s)
Female , Middle Aged , Adenocarcinoma, Mucinous , Appendiceal Neoplasms , Appendix , Neoplasm Metastasis , Abdominal Pain , Hysterectomy , Intestinal Obstruction , LaparotomyABSTRACT
The authors report two cases of patients with appendix adenocarcinoma, manifested as a syndrome of abdominal tumor of unknown origin. It was not possible to perform etiological diagnosis in the preoperative period for any of them. Literature data show that large locoregional tumor is a manifestation of appendix adenocarcinoma, although acute appendicites is the most frequent clinical manifestation. Preoperative diagnosis is rare and usually performed during laparotomy or through histopathological examination of the specimen. In large tumors, total mass resection including hemicolectomy should be carried out whenever possible. Whenever diagnosis of appendix adenocarcinoma is performed by the histopathological examination of the acute appendicites specimen, re-intervention is indicated for a right hemicolectomy.