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J R Soc Med. 1989 January; 82(1): 28–29.
PMCID: PMC1291959

Adenocarcinoma of the appendix.


Patients presenting with adenocarcinoma of the vermiform appendix at the Royal Preston and Chorley District General Hospitals were reviewed for the 15 year period 1972-1986. Eleven cases were identified, representing a rate of 1 in 956 for all appendicectomies performed. A third of the cases presented as acute appendicitis. However, of 8 patients who initially had an appendicectomy, only 4 subsequently underwent further surgery (right hemicolectomy). One patient died of recurrent disease. Five of the patients presenting were under 60 years of age. During the same period, the total number of appendicectomies performed annually declined by 50%. The study highlights the need to subject all appendicectomy specimens to histological examination, and that the disease presents in a younger age group than commonly seen for malignant colonic neoplasms.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.
  • COLLINS DC. A study of 50,000 specimens of the human vermiform appendix. Surg Gynecol Obstet. 1955 Oct;101(4):437–445. [PubMed]
  • Warren S, Warren AS. A STUDY OF 6797 SURGICALLY REMOVED APPENDICES. Ann Surg. 1926 Feb;83(2):222–226. [PubMed]
  • Didolkar MS, Fanous N. Adenocarcinoma of the appendix: a clinicopathologic study. Dis Colon Rectum. 1977 Mar;20(2):130–134. [PubMed]
  • SIERACKI JC, TESLUK H. Primary adenocarcinoma of the vermiform appendix. Cancer. 1956 Sep-Oct;9(5):997–1011. [PubMed]
  • BROWN HW, HUSNI EA. Ruptured adenocarcinoma of the appendix; review of the literature and case presentation. Surgery. 1957 Nov;42(5):953–958. [PubMed]
  • PATTERSON HA. The management of cecal cancer discovered unexpectedly at operation for acute appendicitis. Ann Surg. 1956 May;143(5):670–681. [PubMed]
  • Wolff M, Ahmed N. Epithelial neoplasms of the vermiform appendix (exclusive of carcinoid). II. Cystadenomas, papillary adenomas, and adenomatous polyps of the appendix. Cancer. 1976 May;37(5):2511–2522. [PubMed]

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