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Adenocarcinoma of the Appendix: A Report of Four Cases

Adenocarcinoma of the Appendix: A Report of Four Cases Abstract Although adenocarcinoma of the vermiform appendix is a rare disease, it merits periodic consideration. In 1951 Hughes1 accepted only 19 of the cases which he studied from the literature as true primary lesions of the appendix. Earlier reports were misleading, inasmuch as carcinoids were often recorded as grade 1 adenocarcinomas. Collins2 discovered an incidence of 0.082% after studying 50,000 specimens, while McGregor3 reported an incidence of only 1 in 30,000. Brown and Husni4 reviewed the literature from 1900 to 1957 and found 52 cases. Since their report, the total was extended to 66 by Tarasidis,5 and more recently to 83 by Wilson's composite study from several hospitals in Vancouver, Canada. This neoplasm in the early stages remains asymptomatic. However, as the condition progresses, it can manifest itself in a variety of ways. For instance, Niceberg7 reported a case presenting as an abdominal fistula associated References 1. Hughes, J. H.: Adenocarcinoma of the Appendix , Brit J Surg 39:282, 1951.Crossref 2. Collins, D. C.: A Study of 50,000 Specimens of the Human Vermiform Appendix , Surg Gynec Obstet 101:437, 1955. 3. McGregor, J. K., and McGregor, D. D.: Adenocarcinoma of the Appendix , Surgery 48:925, 1960. 4. Brown, H. W., and Husni, A. H.: Ruptured Adenocarcinoma of the Appendix: Review of the Literature and Case Presentation , Surgery 42:953, 1957. 5. Tarasidis, G. C.; Goodall, H. M.; and Farringer, J. L., Jr.: Adenocarcinoma of the Vermiform Appendix , Surg Gynec Obstet 115:287, 1962. 6. Wilson, R.: Primary Carcinoma of the Appendix , Amer J Surg 104:238, 1962.Crossref 7. Niceberg, D. M.; Feldman, S.; and Mandelberg, A.: Adenocarcinoma of the Vermiform Appendix , Surgery 40:560, 1956. 8. Crile, G., Jr., and Glen, C. G.: Primary Adenocarcinoma of the Appendix With Development of a Mucous Fistula , US Nav Med Bull 47:328, 1947. 9. Nardell, S. G.: Adenocarcinoma of the Appendix , Brit J Surg 41:136, 1953.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Surgery American Medical Association

Adenocarcinoma of the Appendix: A Report of Four Cases

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References (7)

Publisher
American Medical Association
Copyright
Copyright © 1963 American Medical Association. All Rights Reserved.
ISSN
0004-0010
eISSN
1538-3644
DOI
10.1001/archsurg.1963.01310150089020
Publisher site
See Article on Publisher Site

Abstract

Abstract Although adenocarcinoma of the vermiform appendix is a rare disease, it merits periodic consideration. In 1951 Hughes1 accepted only 19 of the cases which he studied from the literature as true primary lesions of the appendix. Earlier reports were misleading, inasmuch as carcinoids were often recorded as grade 1 adenocarcinomas. Collins2 discovered an incidence of 0.082% after studying 50,000 specimens, while McGregor3 reported an incidence of only 1 in 30,000. Brown and Husni4 reviewed the literature from 1900 to 1957 and found 52 cases. Since their report, the total was extended to 66 by Tarasidis,5 and more recently to 83 by Wilson's composite study from several hospitals in Vancouver, Canada. This neoplasm in the early stages remains asymptomatic. However, as the condition progresses, it can manifest itself in a variety of ways. For instance, Niceberg7 reported a case presenting as an abdominal fistula associated References 1. Hughes, J. H.: Adenocarcinoma of the Appendix , Brit J Surg 39:282, 1951.Crossref 2. Collins, D. C.: A Study of 50,000 Specimens of the Human Vermiform Appendix , Surg Gynec Obstet 101:437, 1955. 3. McGregor, J. K., and McGregor, D. D.: Adenocarcinoma of the Appendix , Surgery 48:925, 1960. 4. Brown, H. W., and Husni, A. H.: Ruptured Adenocarcinoma of the Appendix: Review of the Literature and Case Presentation , Surgery 42:953, 1957. 5. Tarasidis, G. C.; Goodall, H. M.; and Farringer, J. L., Jr.: Adenocarcinoma of the Vermiform Appendix , Surg Gynec Obstet 115:287, 1962. 6. Wilson, R.: Primary Carcinoma of the Appendix , Amer J Surg 104:238, 1962.Crossref 7. Niceberg, D. M.; Feldman, S.; and Mandelberg, A.: Adenocarcinoma of the Vermiform Appendix , Surgery 40:560, 1956. 8. Crile, G., Jr., and Glen, C. G.: Primary Adenocarcinoma of the Appendix With Development of a Mucous Fistula , US Nav Med Bull 47:328, 1947. 9. Nardell, S. G.: Adenocarcinoma of the Appendix , Brit J Surg 41:136, 1953.Crossref

Journal

Archives of Surgery – American Medical Association

Published: Sep 1, 1963

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