Khurshid S, Memon A, Tasir Ahmed Mumtaz, Zakiuddin G Oonwala.
Primary Mucinous adenocarcinoma of the appendix - an update on the diagnosis, pathological features of appendiceal mucinous adenocarcinoma.
Pak J Surg Jan ;36(3):270-2.

Primary Mucinous Adenocarcinoma is a rare tumour. Out of 43 appendix specimens received in our laboratory, there was one case of mucinous adenocarcinoma (2.32%). We report a case of primary mucinous adenocarcinoma in a 40-year male patient, admitted for appendicectomy. The patient presented with an appendicular mass, four months previously. The initial treatment was conservative, with the mass considerably reducing in size. The patient was requested to come for a follow up, but disappeared following reduction in the size of the appendicular lump and improvement of his symptoms. He contacted consultant again four months later, as the pain had re-appeared. On examination there was a persistent residual lump in the right iliac fossa. Appendicectomy was done and histology confirmed mucinous adenocarcinoma. Right hemicolectomy was done as a second stage procedure. All surgical specimen, including normal looking appendix be submitted to histological examination as not to miss a sinister diagnosis, requiring a follow up and even second surgical intervention.

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