Primary lymphoma of appendix presenting as acute appendicitis: A case report
| Autor: | Guido Griseri, Giuseppe Caristo, Marco Frascio, Angelo Franceschi, Veronica Errigo, Antonio Langone, Angelo Schirru, Cecilia Ferrari, Marco Casaccia, Rosario Fornaro |
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| Rok vydání: | 2018 |
| Předmět: |
medicine.medical_specialty
Lymphoma medicine.medical_treatment Lymphoma Appendix Acute appendicitis Appendix Article 03 medical and health sciences 0302 clinical medicine Case report Medicine Acute appendicitis Chemotherapy business.industry Incidence (epidemiology) Large cell medicine.disease medicine.anatomical_structure 030220 oncology & carcinogenesis Primary lymphoma 030211 gastroenterology & hepatology Surgery Radiology Presentation (obstetrics) business |
| Zdroj: | International Journal of Surgery Case Reports |
| ISSN: | 2210-2612 |
| DOI: | 10.1016/j.ijscr.2018.04.031 |
| Popis: | Highlights • Primary lymphomas of appendix are extremely rare tumors. The incidence is 0.015% of all gastrointestinal lymphomas. • The neoplasms of appendix usually manifest clinically with sign and symptoms of acute appendicitis. • Preoperative diagnosis is difficult and often occurs through histopathological examination, so it is mandatory for all appendectomies. • There are no clear guidelines for therapy. Primary surgical resection followed by post-operative chemotherapy showed high efficacy. Introduction Primary lymphomas of appendix are extremely rare tumors. The incidence is 0.015% of all gastrointestinal lymphomas. Presentation of case We present a case of a 75 year-old male patient who presented with acute abdominal pain in the lower right quadrant and fever. Discussion The patient received laparotomic appendectomy. The definitive histopathological examination revealed the presence of diffuse large cell B-lymphoma of the appendix. The neoplasms of appendix usually manifest clinically with sign and symptoms of acute appendicitis from luminal obstruction (30–50%). Preoperative diagnosis is difficult and often occurs through histopathological examination. Conclusion Primary appendiceal lymphoma is rare and there are no clear guidelines for therapy. Primary surgical resection followed by post-operative chemotherapy showed high efficacy. The histopathological examination of all appendectomy is essential. |
| Databáze: | OpenAIRE |
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