Mucinous Cystadenoma of the Appendix in a Patient with Systemic Lupus Erthematosus
A 38-year-old female with systemic lupus erythematosus presented with abdominal pain, diarrhea and iron-deficient anemia. Computed tomogram showed a 2x4 cm inhomogeneous lesion of the right adnexa. An unusual mass was identified extending from the appendiceal orifice at colonoscopy, and an 8 cm tubu...
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| Format: | Article |
| Language: | English |
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Wiley
1998-01-01
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| Series: | Canadian Journal of Gastroenterology |
| Online Access: | http://dx.doi.org/10.1155/1998/317346 |
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| author | Debrah A Wirtzfeld Lorne M Price Maire A Duggan Shaun AC Medlicott Francis R Sutherland |
| author_facet | Debrah A Wirtzfeld Lorne M Price Maire A Duggan Shaun AC Medlicott Francis R Sutherland |
| author_sort | Debrah A Wirtzfeld |
| collection | DOAJ |
| description | A 38-year-old female with systemic lupus erythematosus presented with abdominal pain, diarrhea and iron-deficient anemia. Computed tomogram showed a 2x4 cm inhomogeneous lesion of the right adnexa. An unusual mass was identified extending from the appendiceal orifice at colonoscopy, and an 8 cm tubular appendix, apparently prolapsed into the cecum, was identified at celiotomy. An appendectomy with cecectomy was performed. On cut section, mucin was extruded from the lumen of the appendix. A mucinous neoplasm of the appendix with mucinous dissection to the serosal surface was reported at the time of frozen section. No gross ovarian pathology or peritoneal implants were noted. Cystadenoma with associated mucocele formation was verified by permanent histology. Mucocele of the vermiform appendix is a rare condition associated with neoplastic transformation in approximately 75% of all cases. Benign mucinous cystadenoma of the appendix should be differentiated from cystadenocarcinoma by frozen section at the time of celiotomy to ensure appropriate treatment. While systemic lupus erythematosus can lead to cutaneous mucinosis, an association with mucinous cystadenoma of the appendix has not been previously reported. Surveillance for metachronous colonic neoplasms is warranted in patients diagnosed with a mucinous neoplasm of the appendix. |
| format | Article |
| id | doaj-art-9c2d5c3920be41679f0a68e95aef2993 |
| institution | Kabale University |
| issn | 0835-7900 |
| language | English |
| publishDate | 1998-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Canadian Journal of Gastroenterology |
| spelling | doaj-art-9c2d5c3920be41679f0a68e95aef29932025-02-03T05:44:16ZengWileyCanadian Journal of Gastroenterology0835-79001998-01-0112857357610.1155/1998/317346Mucinous Cystadenoma of the Appendix in a Patient with Systemic Lupus ErthematosusDebrah A Wirtzfeld0Lorne M Price1Maire A Duggan2Shaun AC Medlicott3Francis R Sutherland4Department of General Surgery, University of Calgary, Calgary, Alberta, CanadaDepartment of Internal Medicine , University of Calgary, Calgary, Alberta, CanadaDepartment of Pathology, University of Calgary, Calgary, Alberta, CanadaDepartment of Pathology, University of Calgary, Calgary, Alberta, CanadaDepartment of General Surgery, University of Calgary, Calgary, Alberta, CanadaA 38-year-old female with systemic lupus erythematosus presented with abdominal pain, diarrhea and iron-deficient anemia. Computed tomogram showed a 2x4 cm inhomogeneous lesion of the right adnexa. An unusual mass was identified extending from the appendiceal orifice at colonoscopy, and an 8 cm tubular appendix, apparently prolapsed into the cecum, was identified at celiotomy. An appendectomy with cecectomy was performed. On cut section, mucin was extruded from the lumen of the appendix. A mucinous neoplasm of the appendix with mucinous dissection to the serosal surface was reported at the time of frozen section. No gross ovarian pathology or peritoneal implants were noted. Cystadenoma with associated mucocele formation was verified by permanent histology. Mucocele of the vermiform appendix is a rare condition associated with neoplastic transformation in approximately 75% of all cases. Benign mucinous cystadenoma of the appendix should be differentiated from cystadenocarcinoma by frozen section at the time of celiotomy to ensure appropriate treatment. While systemic lupus erythematosus can lead to cutaneous mucinosis, an association with mucinous cystadenoma of the appendix has not been previously reported. Surveillance for metachronous colonic neoplasms is warranted in patients diagnosed with a mucinous neoplasm of the appendix.http://dx.doi.org/10.1155/1998/317346 |
| spellingShingle | Debrah A Wirtzfeld Lorne M Price Maire A Duggan Shaun AC Medlicott Francis R Sutherland Mucinous Cystadenoma of the Appendix in a Patient with Systemic Lupus Erthematosus Canadian Journal of Gastroenterology |
| title | Mucinous Cystadenoma of the Appendix in a Patient with Systemic Lupus Erthematosus |
| title_full | Mucinous Cystadenoma of the Appendix in a Patient with Systemic Lupus Erthematosus |
| title_fullStr | Mucinous Cystadenoma of the Appendix in a Patient with Systemic Lupus Erthematosus |
| title_full_unstemmed | Mucinous Cystadenoma of the Appendix in a Patient with Systemic Lupus Erthematosus |
| title_short | Mucinous Cystadenoma of the Appendix in a Patient with Systemic Lupus Erthematosus |
| title_sort | mucinous cystadenoma of the appendix in a patient with systemic lupus erthematosus |
| url | http://dx.doi.org/10.1155/1998/317346 |
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