Appendix adenocarcinoma associated with ulcerative colitis: a case report and literature review.
Ulcerative colitis (UC) represents a risk factor for colorectal cancer, but the association between UC and appendix cancer is uncommon. A 60-year-old woman with a 5-year history of UC initially received medical treatment with mesalazine and prednisone with no satisfactory response; therefore surgery was indicated. The procedure was a total intersphincteric proctocolectomy with ileostomy. Histopathological analysis indicated adenocarcinoma from the cecal appendix, and chronic-active ulcerative colitis of the colon. In conclusion, surgeons and pathologists should examine every surgical specimen from patients with UC because of the possibility, although remote, of a neoplasic pathology. The appendix adenocarcinoma and ulcerative colitis may or may not be associated, same as colon cancer in patients with UC.
Villanueva Saenz
E
E
Colorectal Surgery Department, Hospital de Especialidades, Centro Medico Nacional Siglo XXI, México DF, México.
Pérez-Aguirre
J
J
Belmonte
M C
MC
Martínez
P H M
PH
Márquez
R M L
RM
Carranza
R J M
RJ
D000230:Adenocarcinoma / Q000209:etiology* / Q000473:pathology; D001063:Appendiceal Neoplasms / Q000209:etiology* / Q000473:pathology; D003093:Colitis, Ulcerative / Q000150:complications* / Q000601:surgery; D005260:Female; D006801:Humans; D008875:Middle Aged; D016737:Proctocolectomy, Restorative