title: Adenocarcinomas of appendix: a rare tumor. Two case reports.
abstract: Primary Adenocarcinomas of the appendix are rare tumor. Most commonly diagnosis was made after surgical pocedure of appendicectomy for suspect acute appendicitis and the pathology report confirms appendiceal neoplasm. Laboratory exams and imaging show low sensibility and specificity for preoperative diagnosis. We report two cases of primary mucinous adenocarcinoma in caucasian men misdiagnosed as having acute appendicitis. Appendicectomy was done and excised appendix was sent for histopathological examination. Mucinous Adenocarcinoma of the appendix was confirmed after histopathological examination. Right hemicolectomy, peritonectomy and Intraoperative Hyperthermic Chemotherapy were done as a second stage procedure. The surgical treatment of these neoplasms depends from the histological stage and local presentation. Cytoreductive surgery associated with Intraoperative Hyperthermic Chemotherapy show best results in advanced cases.
authors.affiliation: UOC Chirurgia I. Azienda Ospedaliera San Giovanni-Addolorata, Rome, Italy.
authors.forename: V
authors.initials: V
authors.lastname: Romeo
authors.affiliation: UOC Chirurgia I. Azienda Ospedaliera San Giovanni-Addolorata, Rome, Italy.
authors.forename: M
authors.initials: M
authors.lastname: Farina
authors.affiliation: UOC Chirurgia I. Azienda Ospedaliera San Giovanni-Addolorata, Rome, Italy.
authors.forename: S
authors.initials: S
authors.lastname: Petrangeli
authors.affiliation: UOC Anatomia Patologica. Azienda Ospedaliera San Giovanni-Addolorata, Rome, Italy.
authors.forename: D
authors.initials: D
authors.lastname: Campagna
authors.affiliation: UOC Chirurgia I. Azienda Ospedaliera San Giovanni-Addolorata, Rome, Italy.
authors.forename: C E
authors.initials: CE
authors.lastname: Vitelli
mesh_terms: D000230:Adenocarcinoma / Q000473:pathology* / Q000628:therapy; D000368:Aged; D001063:Appendiceal Neoplasms / Q000473:pathology* / Q000628:therapy; D010478:Chemotherapy, Cancer, Regional Perfusion; D013505:Digestive System Surgical Procedures; D005334:Fever / Q000209:etiology; D006801:Humans; D008297:Male; D008875:Middle Aged
keywords: Adenocarcinomas; Appendix