Appendiceal metastasis in ovarian carcinoma-a case report
Authors:
Tooba Anjum,
Muhammad Mehraiz Khan,
Misha Imtiaz,
Usman Ismail,
Taha Ahmed Tarin
Background: Being highly malignant, ovarian carcinoma mostly presents at an advanced stage at the time of diagnosis. The appendix could be a potential site for metastatic involvement by ovarian malignancy, however, this is a rare event. Though, its presence can upgrade the tumor to stage III. Case Presentation: We report a post-menopausal patient with abdominal mass and distension. Computed tomography scan showed bilateral adnexal lesions, an enlarged enhancing appendix, right hydroureteronephrosis, and ascites. On histopathological correlation, the adnexal lesions turned out to be moderate to poorly differentiated papillary adenocarcinoma with omental and appendiceal involvement by the pathologic process. The patient was then referred to the Oncology department. Conclusion: Clinical assessment of appendix or routine appendectomy as part of late-stage ovarian carcinoma management in older patients with omental involvement can lower the risk of appendiceal involvement with subsequent downstaging of the tumor.
Keywords: Ovarian carcinoma, appendiceal metastasis, appendectomy.
Authors
Correspondence to:
Muhammad Mehraiz Khan, Post Graduate Trainee, Radiology Department, INMOL Cancer Hospital, Lahore, Pakistan mehraizkhan2015@gmail.com
Publication history:
Received 19 Apr 2022
Revised 06 Aug 2022
Accepted 02 Sep 2022
Published online 10 Oct 2022
Published in print 16 Oct 2022
Anjum T, Khan MM, Imtiaz M, Ismail U, Tarin TA. Appendiceal metastasis in ovarian carcinoma-a case report. EJMCR. 2022; 6(6): 102-106. doi:
10.24911/ejmcr/173-1650315521
Anjum T, Khan MM, Imtiaz M, Ismail U, Tarin TA. Appendiceal metastasis in ovarian carcinoma-a case report. https://www.ejmcr.com/?mno=19998 [Access: September 20, 2024]. doi:
10.24911/ejmcr/173-1650315521
Anjum T, Khan MM, Imtiaz M, Ismail U, Tarin TA. Appendiceal metastasis in ovarian carcinoma-a case report. EJMCR. 2022; 6(6): 102-106. doi:
10.24911/ejmcr/173-1650315521
Anjum T, Khan MM, Imtiaz M, Ismail U, Tarin TA. Appendiceal metastasis in ovarian carcinoma-a case report. EJMCR. (2022), [cited September 20, 2024]; 6(6): 102-106. doi:
10.24911/ejmcr/173-1650315521
Anjum, T., Khan, . M. M., Imtiaz, . M., Ismail, . U. & Tarin, . T. A. (2022) Appendiceal metastasis in ovarian carcinoma-a case report. EJMCR, 6 (6), 102-106. doi:
10.24911/ejmcr/173-1650315521
Anjum, Tooba, Muhammad Mehraiz Khan, Misha Imtiaz, Usman Ismail, and Taha Ahmed Tarin. 2022. Appendiceal metastasis in ovarian carcinoma-a case report. European Journal of Medical Case Reports, 6 (6), 102-106. doi:
10.24911/ejmcr/173-1650315521
Anjum, Tooba, Muhammad Mehraiz Khan, Misha Imtiaz, Usman Ismail, and Taha Ahmed Tarin. "Appendiceal metastasis in ovarian carcinoma-a case report." European Journal of Medical Case Reports 6 (2022), 102-106. doi:
10.24911/ejmcr/173-1650315521
Anjum, Tooba, Muhammad Mehraiz Khan, Misha Imtiaz, Usman Ismail, and Taha Ahmed Tarin. "Appendiceal metastasis in ovarian carcinoma-a case report." European Journal of Medical Case Reports 6.6 (2022), 102-106. Print. doi:
10.24911/ejmcr/173-1650315521
Anjum, T., Khan, . M. M., Imtiaz, . M., Ismail, . U. & Tarin, . T. A. (2022) Appendiceal metastasis in ovarian carcinoma-a case report. European Journal of Medical Case Reports, 6 (6), 102-106. doi:
10.24911/ejmcr/173-1650315521