Adenocarcinoma mimicking appendicular lump: a diagnostic dilemma-a case report.
BACKGROUND
Primary appendiceal adenocarcinoma is a rare tumor, mucinous variety being common. This case is reported to highlight the unusual presentation and diagnostic difficulty of appendiceal adenocarcinoma.


METHODS
Patient presented with acute appendicitis with ill-defined tender lump which responded to conservative management.


CONCLUSIONS
High index of suspicion should be kept in mind for elderly patients presenting with appendicular lump. Every effort should be made during elective appendectomy to remove stump in case of sloughed out appendix.
Department of General Surgery, TNMC & BYL Nair Ch Hospital, Mumbai, Maharashtra, India.
Sanket
S
Kalpande
Department of General Surgery, TNMC & BYL Nair Ch Hospital, Mumbai, Maharashtra, India. smruti63@hotmail.com.
Jayashri
J
Pandya
Department of General Surgery, TNMC & BYL Nair Ch Hospital, Mumbai, Maharashtra, India.
Tushar
T
Sharma
D018784:Abdominal Abscess / Q000000981:diagnostic imaging / Q000209:etiology; D000230:Adenocarcinoma / Q000175:diagnosis* / Q000188:drug therapy / Q000473:pathology / Q000601:surgery; D000367:Age Factors; D000971:Antineoplastic Combined Chemotherapy Protocols / Q000627:therapeutic use; D001062:Appendectomy / Q000379:methods; D001063:Appendiceal Neoplasms / Q000175:diagnosis* / Q000188:drug therapy / Q000473:pathology / Q000601:surgery; D001064:Appendicitis / Q000150:complications / Q000175:diagnosis* / Q000473:pathology / Q000601:surgery; D001065:Appendix / Q000473:pathology* / Q000601:surgery; D002272:Carcinoembryonic Antigen / Q000097:blood; D017024:Chemotherapy, Adjuvant; D003082:Colectomy; D003937:Diagnosis, Differential; D017558:Elective Surgical Procedures; D005260:Female; D005472:Fluorouracil / Q000627:therapeutic use; D006801:Humans; D002955:Leucovorin / Q000627:therapeutic use; D008197:Lymph Node Excision; D008198:Lymph Nodes / Q000473:pathology / Q000601:surgery; D008875:Middle Aged; D009367:Neoplasm Staging; D009944:Organoplatinum Compounds / Q000627:therapeutic use; D035583:Rare Diseases / Q000175:diagnosis; D014057:Tomography, X-Ray Computed; D014463:Ultrasonography
D002272:Carcinoembryonic Antigen; D009944:Organoplatinum Compounds; D002955:Leucovorin; D005472:Fluorouracil
Adenocarcinoma; Appendix; Iliac fossa lump