Professional paper

https://doi.org/10.57140/mj.53.4.7

A case report of appendiceal adenoma - a rare entity

Fatima Juković Bihorac ; Cantonal Hospital Zenica, Department of Pathology, Zenica, Bosnia and Herzegovina
Anhel Koluh ; Cantonal Hospital Zenica, Department of Surgery, Zenica, Bosnia and Herzegovina
Emir Begagić ; University of Zenica, Medical Faculty, Department of General Medicine

Abstract

Appendiceal neoplasms are quite uncommon. They are detected in fewer than 0.5 percent of
appendectomies and less than 0.5 percent of all gastrointestinal neoplasms. Similar to a colonic adenoma,
an appendiceal adenoma is neoplasm with precancerous nature. A rare case of appendiceal adenoma is
presented here in a 65-year-old female patient, incidentally discovered at the orifice of the appendix, during
the screening analysis. The patient felt well. Abdominal examination and laboratory analysis were regular.
Due to the inaccessibility of the lesion by colonoscopy, surgical treatment was recommended. A
laparoscopic appendectomy was performed. On pathological examination, diagnosis of tubulovillous
adenoma was performed. Endoscopic screening analysis of precancerous appendiceal neoplasm is very
important. The method of choice for any appendiceal neoplasm is surgical removal i.e. appendectomy,
preferably with a clean caecal margin, which requires stapling of the cecum. Early detection can prevent
complications and decrease the risk of consequential appendiceal or colorectal carcinoma.

Keywords

adenoma; appendectomy; appendix; appendiceal neoplasms; diagnostic screening programs; dysplastic changes; colonoscopy

Hrčak ID:

313418

URI

https://hrcak.srce.hr/313418

Publication date:

16.1.2024.

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