Abstract:
Objective: To report the experience of our department on adenocarcinoma of
the appendix through a series of six (6) cases. Materials and Methods: This is
a retrospective study carried out from January 2010 to June 2015 collating all
cases of adenocarcinoma of the appendix diagnosed at the department of visceral
surgery B in Hassan II University Hospital in Fez. Results: Six cases of
adenocarcinoma of the appendix were recorded during the determined period
of study. The mean age was 54.67 ± 16.99 years with the extreme ages ranging
from 28 to 78 years. There was a female predominance with a sex ratio of 2.
All patients had no specific medical history. The revealing symptoms were the
following: appendicitis syndrome (1 case), bowel obstruction (1 case), psoas
abscess (1 case) and fortuitous discovery during laparotomy for another
problem (3 cases). The following histological types found were: colloid adenocarcinoma
(3 cases), mucinous adenocarcinoma (2 case), mucinous cystadenocarcinoma
associated with a moderately differentiated adenocarcinoma
of the appendix (1 case). The surgical procedure consisted of a right hemicolectomy
in 3 patients. Appendectomy followed by a right hemicolectomy and
drainage of psoas abscess was performed in two patients. Palliative ileocecal
resection and Bouilly-Volkmann ileocolostomy was performed in one patent
who had carcinosis. All patients received adjuvant chemotherapy. The following
occurred during follow-up: carcinosis (2 patients), a locoregional recurrence
(2 patients). Two patients never returned for follow-up. Conclusion:
Tumor of the appendix is a rare and exceptional pathology. These tumors are
generally discovered fortuitously or during histology of appendectomy specimens.
The treatment is usually surgical.
