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Adenocarcinoma of the Appendix with Lymph Node Metastasis: A Case Report

Tiago Ferrari, Ariana Ferrari, Guilherme Munhoz Lopes, Juliano Fabricio dos Santos Neto, Luiz Ricardo Campelo, Guilherme Telles Hahn, Brazil

Adenocarcinoma of the cecal appendix is a malignant tumor of rare affection, occurring in the range of 0.001 to 0.2 per 100,000 person/year. Usually affects young adults. Its main clinical manifestation is acute appendicitis, making early diagnosis difficult. It is commonly found in the distal portion of the appendix and is most often discovered only in the anatomopathological examination (AP) of a surgical specimen of appendectomy. We report a case of a 61-year-old patient, presenting pain in the hypogastro region, which radiated to the right iliac fossa, when it increased in intensity. In surgery, an appendix of Grade III was identified, with AP describing Adenocarcinoma of the Appendix. In this way, a right hemicolectomy associated with lymphadenectomy by laparotomy was performed, in the second time, whose AP identified lymph node metastasis.

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