Read by QxMD icon Read

Colonoscopy appendix cancer

Erin Fitzgerald, Lilian Chen, Moises Guelrud, Harmony Allison, Tao Zuo, Yvelisse Suarez, James Yoo
Appendiceal adenocarcinoma typically presents as an incidentally noted appendiceal mass, or with symptoms of right lower quadrant pain that can mimic appendicitis, but local involvement of adjacent organs is uncommon, particularly as the presenting sign. We report on a case of a primary appendiceal cancer initially diagnosed as a rectal polyp based on its appearance in the rectal lumen. The management of the patient was in keeping with standard practice for a rectal polyp, and the diagnosis of appendiceal adenocarcinoma was made intraoperatively...
January 2016: Case Reports in Gastroenterology
M M Deken, S H de Bie, M E de Noo
Three elderly patients presented with acute abdominal pain in the right lower quadrant and leukocytosis. CT-imaging of the abdomen supported the suspicion of acute appendicitis. The patients underwent appendectomy. After pathological examination, two patients were found to have a colon carcinoma. The third patient had a normal appendix; however, adenocarcinoma of the cecum was found four weeks later. The patients underwent a second operation, a right hemicolectomy, within two months. In patients older than 65 years with symptoms of acute appendicitis, colon cancer should be considered in the differential diagnosis...
2016: Nederlands Tijdschrift Voor Geneeskunde
Darren Leonard Scroggie, Maitham Al-Whouhayb
A 67-year-old lady was found to have a giant appendicolith during a colorectal cancer screening colonoscopy, following a positive faecal occult blood test. Computed tomography confirmed the presence of a calcified giant appendicolith within the base of the appendix, which otherwise appeared normal. Appendicoliths are widely believed to be a major cause of acute appendicitis via obstruction of the appendix lumen, although this is disputed due to a lack of strong evidence. They may also cause chronic abdominal pain...
2015: Journal of Surgical Case Reports
Stavros Gourgiotis, Christianna Oikonomou, Paraskevi Kollia, Evangelos Falidas, Constantinos Villias
Primary appendiceal adenocarcinomas are extremely rare entities. Preoperative diagnosis is very difficult and is mainly based on computed tomography (CT) scan findings. Furthermore, in many cases, difficulties in establishing an accurate intraoperative diagnosis have resulted in a two-stage surgical intervention. We herein report a case of a primary appendiceal mucinous adenocarcinoma in a 67-year-old Caucasian man who presented with atypical symptoms of persistent coughing and weight loss. The chest CT showed lesions with features favorable of malignancy...
August 2015: Journal of Clinical Medicine Research
Carlos Augusto Real Martinez, Júlia Cutovoi, Debora Helena Rossi, Luciana Rodrigues Meirelles, Maria de Lourdes Setsuko Ayrizono, Raquel Franco Leal, Cláudio Saddy Rodrigues Coy
Introduction. Serrated adenomas of the appendix are rare and usually found during appendectomy or autopsies. The preoperative diagnosis of these tumors is uncommon. This report describes a case of a sessile serrated adenoma located in the appendix diagnosed by a screening colonoscopy and successfully treated by laparoscopic removal. Presentation of Case. An 86-year-old woman underwent colonoscopy to investigate the cause of her diarrhea, weight loss, and anemia. During the colonoscopy, an expansive and vegetating mass of 1...
2015: Case Reports in Surgery
Joseph Leung, Surinder Mann, Rodelei Siao-Salera, Catherine Ngo, Ramez Saroufeem, Randy McCreery, Gregory Ward, Ovanes Abramyan, Wilhemina Canete, Fujun Li, Machelle D Wilson, Felix Leung
BACKGROUND AND STUDY AIMS: Dye spray chromoendoscopy and water exchange method both increase adenoma detection rate (ADR). This study was performed to determine if combining indigo carmine with water exchange method will further enhance adenoma detection. METHOD: An IRB-approved randomized, controlled trial was performed in outpatients undergoing screening colonoscopy. The water exchange or combined method with 0.008% indigo carmine added was performed by two endoscopists...
January 2014: Journal of Interventional Gastroenterology
Zhi-Huan Sun, Hai-Meng Zhou, Guo-Xin Song, Zhong-Xiao Zhou, Liang Bai
AIM: To investigate the clinical features, diagnosis, treatment and prognosis of intestinal T-cell lymphomas (ITCL) by retrospective analysis. METHODS: Sixty-eight patients who were diagnosed with ITCL in case reports in the Chinese literature were compiled and reviewed. Age, gender, CD56 expression, surgical management, multifocal nature, perforation and cyclophosphamide chemotherapy were analyzed as the prognostic factors. The Kaplan-Meier method was adopted for the univariate analysis and the cumulative survival curve analysis...
January 7, 2014: World Journal of Gastroenterology: WJG
Fabio Pulighe, Panagiotis Paliogiannis, Antonio Cossu, Giuseppe Palmieri, Maria Colombino, Fabrizio Scognamillo, Mario Trignano
INTRODUCTION: In this report, we present the case of a patient affected by appendiceal cystadenoma, a colorectal adenocarcinoma, and a concomitant bladder carcinoma, as well as the results of the molecular study of the most relevant mutational pathways involved in these tumors. CASE PRESENTATION: A 68-year-old Italian man was admitted to our unit complaining of macrohematuria, rectorrhagia, and rectal tenesmus for about 2 months. A colonoscopy showed the presence of a rectal lesion at 11cm from the anal margin; multiple biopsies were performed and a diagnosis of moderately differentiated adenocarcinoma was made...
2013: Journal of Medical Case Reports
Joseph Leung, Surinder Mann, Rodelei Siao-Salera, Catherine Ngo, Randy McCreery, Wilhemina Canete, Felix Leung
PURPOSE: Chromoendoscopy with dye spray and the water method both increase adenoma detection. HYPOTHESIS: Adding indigocarmine to the water method will enhance further the effectiveness of the latter in adenoma detection. METHODS: Screening colonoscopy was performed with the water method (control) or with 0.008% indigocarmine added (study) by two endoscopists. Randomization was based on computer-generated codes contained in blocks of pre-arranged opaque sealed envelopes...
July 2012: Journal of Interventional Gastroenterology
Hemant Chatrath, Douglas K Rex
INTRODUCTION: Check-Cap is a capsule device that images the colon using low-dose radiation (total dose equivalent to a plain abdominal radiograph) and does not require bowel preparation. Check-Cap is in development for colorectal cancer imaging. AIM: : To survey patients in a primary care setting for their preferences for Check-Cap versus fecal occult blood testing (FOBT), including among patients who decline colonoscopy. METHODS: Patients aged 50 and older presenting to the general medicine and family practice clinics of Indiana University Health sites within a 3-month period were approached during clinic visits...
January 2014: Journal of Clinical Gastroenterology
C Kim-Fuchs, Y Chittazhathu Kurian Kuruvilla, E Angst, R Weimann, B Gloor, D Candinas
Appendiceal mucoceles are rare cystic lesions with an incidence of 0.3-0.7% of all appendectomies. They are divided into four subgroups according to their histology. Even though the symptoms may vary - depending on the level of complication - from right lower quadrant pain, signs of intussusception, gastrointestinal bleeding to an acute abdomen with sepsis, most mucoceles are asymptomatic and found incidentally. We present the case of a 70-year-old patient with an incidentally found appendiceal mucocele. He was seen at the hospital for backache...
September 2011: Case Reports in Gastroenterology
Florence M Aslinia, Preet Bagi, John D Sorkin, Richard B Williams, Robert G Knodell, Lawrence F Sorkin, Bruce D Greenwald, Allison Steele, Jean-Pierre Raufman
Complete colonoscopy for cancer screening requires cecal intubation. Failure to reach and examine the cecum may result in missed right colon pathology. We developed and validated a novel classification scheme for the endoscopic appearance of the normal appendiceal orifice (AO). We analyzed 1,456 AO images and grouped them into four categories based on distinguishing features: "diverticuloid," "umbilicoid," "crescent," and "linear." An expert panel classified the images and modified these categories, combining crescent and linear categories into "curvilinear...
May 2012: Clinical Anatomy
Rohta Noaki, Hidejiro Kawahara, Kazuhiro Watanabe, Susumu Kobayashi, Kan Uchiyama, Katsuhiko Yanaga
A 33-year-old female patient with ulcerative colitis was referred to our outpatient clinic in January 2008 with right lower abdominal pain without bloody diarrhea. Colonoscopy found mild proctosigmoiditis and a submucoal tumor with a maximal diameter of 5 cm in the cecum. Computed tomography revealed a large, hypodense, cystic cylindrical structure extending to the pelvic space. For severe pain, she underwent partial resection of the cecum including the tumor in March 2008. Intraoperatively, the vermiform appendix was swollen like a sausage and compressing the cecum, which accounted for what appeared to be a submucosal tumor like a volcano by endoscopy...
2009: Case Reports in Gastroenterology
Tsung-Hsing Chen, Chun-Jung Lin, Ren-Chin Wu, Yu-Pin Ho, Chen-Ming Hsu, Wei-Pin Lin, Yu-Pin Tseng, Cheng-Hsiung Chen, Cheng-Tang Chiu
BACKGROUND: Difficulty with the proximal lesion approach and durability of endoscopic ultrasonography (EUS) instruments usually limits its application for lower gaotrointestina (GI) lesions to locoregional staging of rectal cancer. This study investigated the value of colonoscopic miniprobe ultrasonography for differential diagnosis and treatment strategy in patients with colorectal subepithelial lesions (SEL). METHODS: Miniprobe ultrasonography was Performed in 40 consecutive patients with suspected colorectal SEL or residual lesions after endoscopic resection at one medical center by the same endoscopist (C-J Lin)...
July 2010: Chang Gung Medical Journal
S E McSweeney, P M O'Donoghue, K Jhaveri
This review is devoted to current and emerging techniques in gastrointestinal (GI) imaging. It is divided into three sections focusing on areas that are both interesting and challenging: imaging of the small bowel and appendix, imaging of the colon and rectum and finally liver and pancreas in the upper abdomen. The first section covers cross-sectional imaging of the small bowel using the techniques of multidetector computed tomography (MDCT) (including CT enterography) and magnetic resonance imaging (MRI). The evaluation of mesenteric ischemia and GI tract bleeding using MDCT angiography is also reviewed...
April 2010: Journal of Postgraduate Medicine
F Farah-Klibi, J Kourda-Boujemaa, I Bouaskar, C Dziri, Z Rachida, S Ben Jilani-Baltagi
BACKGROUND: Primary adenocarcinomas of the appendix are uncommon, constituting 1% of all colorectal malignancies. Appendiceal malignancies often present atypically, thus creating diagnostic challenges. Although there are many pathology reports of primary cystadenocarcinoma of the appendix, only a limited number of cases have appeared in the radiological or surgical literature. We present a unique case of primary cystadenocarcinoma of the appendix occurring concurrently with adenocarcinoma of the colon, and overview the clinical and therapeutic difficulties posed by this rare entity...
December 2009: Pathologica
I Hadj-Taieb, A Masmoudi, L Ayadi, T J Meziou, A Khabir, A Charfeddine, S Boujelbène, M I Beyrouti, N Tahri, T Boudawara, H Turki, A Zahaf
BACKGROUND: Cutaneous metastasis of colorectal cancer is rare. We report a case of fistular lesions of the buttocks revealing a mixed tumour of the appendix involving mucinous cystadenocarcinoma and carcinoid tumour. CASE REPORT: A 67-year-old woman was admitted for four skin fistulae of the right buttock present for 6 years. Histological examination of skin biopsy specimens identified infiltration of the dermis by metastatic mucinous adenocarcinoma while colonoscopy showed a caecal tumour measuring 4 cm...
March 2010: Annales de Dermatologie et de Vénéréologie
Ferran González-Huix Lladó, Montserrat Figa Francesch, Carlos Huertas Nadal
Colonoscopy is the gold standard for the diagnosis and treatment of diseases of the colon and, especially, for screening and surveillance of colorectal cancer. Because of the rapid and progressive rise in the number of procedures performed in the last few years and the inherent risks of this increase, quality criteria for the indication and performance of this procedure are required. These criteria should be standardized for all endoscopists and endoscopy units; moreover, continual evaluation of the staff and units performing this procedure should be carried out...
January 2010: Gastroenterología y Hepatología
Hugh J Freeman, Douglas L Webber, Adam T Meneghetti
A 65-year-old man with a history of previously resected colonic adenomas had an apparent cecal lesion detected during colonoscopy. The polyp proved to be a tubulovillous adenoma with high-grade dysplasia involving most of the body of the appendix along with the base of the cecum. The appendiceal mucosa is biologically similar to the colonic mucosa, yet remains relatively 'hidden' in screening and surveillance studies, which suggests important implications for evolving detection strategies in the follow-up of patients with a previous colon polyp or cancer resections...
May 2009: Canadian Journal of Gastroenterology, Journal Canadien de Gastroenterologie
B M Boland, C G Collins, E Christiansen, A O'Brien, J Duignan
Mucinous cystadenomas of the appendix are rare, with significant malignant potential [Lo and Sarr in Hepatogastroenterology 50(50):432-437, 2003]. Carcinoid tumours are similarly uncommon, rarely occurring in Meckel's diverticula but are still the commonest tumour of Meckel's diverticulae [Nies et al. in Dis Colon Rectum 35(6):589-596, 1992; Modlin and Lye in Cancer 97(4):934-959, 2003; Sutter et al. in Schweiz Med Wochenschr Suppl 89:20S-24S, 1997; Weber and McFadden DW in J Clin Gastroenterol 11(6):682-686, 1989]...
December 2011: Irish Journal of Medical Science
Fetch more papers »
Fetching more papers... Fetching...
Read by QxMD. Sign in or create an account to discover new knowledge that matter to you.
Remove bar
Read by QxMD icon Read

Search Tips

Use Boolean operators: AND/OR

diabetic AND foot
diabetes OR diabetic

Exclude a word using the 'minus' sign

Virchow -triad

Use Parentheses

water AND (cup OR glass)

Add an asterisk (*) at end of a word to include word stems

Neuro* will search for Neurology, Neuroscientist, Neurological, and so on

Use quotes to search for an exact phrase

"primary prevention of cancer"
(heart or cardiac or cardio*) AND arrest -"American Heart Association"