scholarly journals Adenocarcinoma of the Appendix

1989 ◽  
Vol 82 (1) ◽  
pp. 28-29 ◽  
Author(s):  
P Burgess ◽  
H J Done

Patients presenting with adenocarcinoma of the vermiform appendix at the Royal Preston and Chorley District General Hospitals were reviewed for the 15 year period 1972–1986. Eleven cases were identified, representing a rate of 1 in 956 for all appendicectomies performed. A third of the cases presented as acute appendicitis. However, of 8 patients who initially had an appendicectomy, only 4 subsequently underwent further surgery (right hemicolectomy). One patient died of recurrent disease. Five of the patients presenting were under 60 years of age. During the same period, the total number of appendicectomies performed annually declined by 50%. The study highlights the need to subject all appendicectomy specimens to histological examination, and that the disease presents in a younger age group than commonly seen for malignant colonic neoplasms.

Author(s):  
Hena Tabassum ◽  
Manoj Kumar Ray

Objectives: This present study was to evaluate the incidence and clinical infestation of Enterobius vermicularis in acute appendicitis patients. Methods: A total of 62 appendectomy specimen with a clinical diagnosis of acute appendicitis of patients with age group 1year to greater than 50 years with irrespective of sexes were enrolled in this study. Results: Data was analysed by using simple statistical methods with the help of MS-office software. Majority of patients 34(54.84%) were belonged in age group of 21-30 years. Second common age 20(32.26%) group was 11-20 years. Most of the patients were females 49(79%). Histological findings of specimen shown that specimen had 28(45.16%) acute with periappendicitis, 10(16.13%) acute appendicitis. 8(12.90%) Vermiform, 7(11.29%) receeding appendicitis, 5(8.06%) gangrenous appendicitis and 4(6.45%) oxuyriasis. Conclusions: Enterobius vermicularis infection was commonly seen in second to third decades of life. Females were more preponderance than males. Acute with periappendicitis was the commonest histological findings of specimen. And hence, E. vermicularis infection can be controlled by anthelminthic treatment, yet very unfortunately patients undergo an appendicectomy. An awareness and a high index of suspicion is required since these patients generally have multiple previous visits to the hospital with abdominal discomfort before an acute abdomen that requires surgery. Careful examination and symptomatology awareness, blood examination especially in younger age group should aware surgeon of possible cause of abdominal colic. Keywords: Enterobius vermicularis, Acute appendicitis, Appendicectomy, Age group, Gender


2017 ◽  
Vol 4 (4) ◽  
pp. 1360 ◽  
Author(s):  
Kamlesh Dhruv ◽  
Sunita Meshram ◽  
Sujan Narayan Agrawal

Background: The most common cause of acute abdomen in surgical is appendicitis. Among the surgeries of abdomen performed all over the world, appendectomy is the most common operation performed. Many studies have shown variations of age, gender in acute appendicitis as well as the seasonal variations in the occurrence of acute appendicitis, although the cause is not found yet. Objective was to study the surgical profile of patients undergoing appendectomy.Methods: A total of 302 patients who have undergone appendectomy were included in the present study which was hospital based cross sectional study. The study was carried out for two years at Osmania General Hospital, Hyderabad, India. Permission from Institutional Ethics Committee permission was obtained. From each and every patient included in the study, initially Informed individual consent was taken.Results: The incidence of appendicitis is much more in females i.e. 60% compared to only 40% in males. Appendicitis was most common in younger age groups of below 30 years of age. As the age increased the incidence of appendicitis decreased. From 83.2% at 30 or less than 30 of age it drastically dropped down to 15.9% in the age group of 30-49 years and in the age group of 50 and above, the incidence of appendicitis came down to less than one percentage. Only three cases were recorded above the age of 50 years.Conclusions: Present study revealed more rates in females. The disease was more common in younger age groups. The most common presenting symptom was abdominal pain. Presence of abdominal mass was absent in the present study.


2012 ◽  
Vol 11 (3) ◽  
pp. 201-205
Author(s):  
J Sujata ◽  
JS Zeeba ◽  
R Safia

Objectives: Acute appendicitis is a condition characterized by inflammation of the appendix for which timely surgery is mandatory to prevent morbidity and mortality. The aim of this study was to assess the differences in incidences, age, sex and seasonal variations and to review the histological diagnoses of all the appendicectomy samples.Methods: A retrospective analysis of patients who underwent appendicectomy at the Hakeem Abdul Hameed Centenary Hospital, New Delhi during the period Jan 2007 to Oct 2010.All the relevant data were retrieved from the accompanying laboratory request forms or patients files records where available. All histology slides were also retrieved and reviewed. To overcome the lack of standardization which is inherent in a retrospective analyses of this type, on review, all the cases were grouped into histopathologic categories Results: Of the 262 cases reviewed, acute suppurative appendicitis accounted for the maximum cases(80,30.53%) and a negative appendicectomy rate of 7% was observed. Male predominance was seen with a M:F ratio of 1.4:1.A peak incidence of 35.1% was observed in the 21-30years age group. A seasonal trend of majority cases being confined to the months of June -August coinciding with the rainy season was noted. Conclusion: The vermiform appendix is a vestigial organ with no specific function. It comes into the limelight when a diagnosis of acute appendicitis is made by the surgeon based upon clinical features and physical examination. Histological examination of the appendix is therefore necessary to assess the surgeon's rate of negative appendicectomy as well as avoid missing a rare diagnosis or a malignancy. DOI: http://dx.doi.org/10.3329/bjms.v11i3.11722 Bangladesh Journal of Medical Science Vol. 11 No. 03 July’12  


2018 ◽  
Vol 2018 ◽  
pp. 1-3 ◽  
Author(s):  
Chijioke Chinaka ◽  
Shahbaz Mansoor ◽  
Mohamed Salaheidin

Acute abdominal pain is a common surgical presentation, and most often, the first line of consideration is to rule out acute appendicitis; this is more so when the patient is an adolescent or within younger age group. In most cases, other differentials are considered before omental torsion. Omental torsion is a cause of acute abdominal pain and sometimes mimics acute appendicitis in its presentation. We present a case of a 14-yr-old boy who presented with acute abdomen with symptoms mimicking acute appendicitis. Laparoscopy revealed torsion of the omentum. Omentectomy and appendicectomy were done, and the child discharged four days after following a remarkable recovery.


1970 ◽  
Vol 2 (3) ◽  
pp. 198-202
Author(s):  
D Ghartimagar ◽  
A Ghosh ◽  
OP Talwar ◽  
R Narasimhan

Background: Breast cancers rarely occur in young women but are known to have more aggressive behaviors and poorer outcome. We here compare the significance of breast carcinoma in female below the age of 35 to the age over 35 whose specimens were submitted to Manipal teaching hospital, Pokhara. Materials and Methods: All cases of mastectomy with carcinoma from January 2000 to September 2011 were included in the study. Clinical and histopathological datas of all cases were reviewed and collated. Results: A total of 148 mastectomy specimens were received, among which, 23 cases (16%) were below 35 years; whereas 125 cases (84%) were above 35 years of age. In both groups, Stage II was the commonest stage but stage III was much more common in older group (33% versus 9%) and stage I was more common in younger age group (39% versus 27%). Bloom Richardson grading showed that in the older age group, grade 1 is the commonest grade (50%) while in the younger group; grade 3 is the commonest (39%). Patients were followed for a varying period of 6 months to 5 years. Two cases (2% of followed up cases) in older group and 3 cases (15% of followed up cases) in the younger group showed recurrence. Conclusion: Breast carcinoma in the patients younger than 35 years though presented at an early stage has higher grade tumor and poorer outcome. DOI: http://dx.doi.org/10.3126/jpn.v2i3.6021 JPN 2012; 2(3): 198-202


2019 ◽  
Vol 2019 (5) ◽  
Author(s):  
Adam O’Connor ◽  
Peter Asaad

Abstract De Garengeot hernia is a rare subtype of femoral hernia whereby the vermiform appendix is located within the hernial sac. Even rarer is the presence of appendicitis within the hernia sac. De Garengeot’s hernia is difficult to diagnose pre-operatively and can prove technically difficult at operation particularly with regards to mobilization of the caecum and appendix in order to perform appendicectomy. Laparoscopic, open, with and without mesh repair of de Garengeot hernia have all been described in the literature with varying degrees of success. We present a case of an 82 year old lady presenting with an acutely painful right sided groin lump. CT scan revealed the presence of de Garengeot hernia with acute appendicitis. We describe in text and photo format our approach to the hernia repair, appendicectomy and provide a short review of the literature with regards to the different operative approaches to such a patient.


Author(s):  
Daniel Suter ◽  
Caio Victor Sousa ◽  
Lee Hill ◽  
Volker Scheer ◽  
Pantelis Theo Nikolaidis ◽  
...  

In recent years, there has been an increasing number of investigations analyzing the effects of sex, performance level, and age on pacing in various running disciplines. However, little is known about the impact of those factors on pacing strategies in ultramarathon trail running. This study investigated the effects of age, sex, and performance level on pacing in the UTMB® (Ultra-trail du Mont Blanc) and aimed to verify previous findings obtained in the research on other running disciplines and other ultramarathon races. Data from the UTMB® from 2008 to 2019 for 13,829 race results (12,681 men and 1148 women) were analyzed. A general linear model (two-way analysis of variance (ANOVA)) was applied to identify a sex, age group, and interaction effect in pace average and pace variation. A univariate model (one-way ANOVA) was used to identify a sex effect for age, pace average, and pace variation for the fastest men and women. In our study, pace average and a steadier pace were positively correlated. Even pacing throughout the UTMB® correlated with faster finishing times. The average pace depended significantly on sex and age group. When considering the top five athletes in each age group, sex and age group also had significant effects on pace variation. The fastest women were older than the fastest men, and the fastest men were faster than the fastest women. Women had a higher pace variation than men. In male competitors, younger age may be advantageous for a successful finish of the UTMB®. Faster male runners seemed to be younger in ultramarathon trail running with large changes in altitude when compared to other distances and terrains.


Author(s):  
Vítor Devezas ◽  
Laura Elisabete Barbosa

AbstractTumours of the appendix are rare and tend to be diagnosed incidentally, in cases of acute appendicitis. For some authors, appendiceal neuroendocrine tumours (ANETs) are the most frequent neoplasm of the appendix, observed in 0.3% to 0.9% of cases acute appendicitis. The present is a unicentric retrospective study conducted between January 2005 and March 2017. Out of a total of 3,007 surgeries for appendiceal pathologies performed in the adult population at the hospital where the present study was conducted, there were 70 (2.33%) malignant cases, 20 (28.6%) of which were ANETs. The patients had a median age of 44 years (range: 18 to 85 years), and were predominantly women (there were 1.9 times more women than men). In 16 cases (80%), a simple appendicectomy was performed (1 patient was submitted to a right hemicolectomy later). The cases of ANETs had a good prognosis in our series: 85% of the patients are either alive today or were alive after 5 years of follow-up. Despite the fact that ANETs are described as the most frequent tumor of the appendix, this was not confirmed in our series, in which they only represented 28.6% of the cases; adenocarcinoma was the most frequent tumor (65.7%) among our sample.


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