-(A) Cecum adenocarcinoma 100 ×. (B) Appendix base with cecum adenocarcinoma involvement 40 ×.

-(A) Cecum adenocarcinoma 100 ×. (B) Appendix base with cecum adenocarcinoma involvement 40 ×.

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A 59-year-old man presenting with right upper quadrant pain was found to have hepatic abscesses on CT imaging. After draining the abscess, a repeat CT 3 weeks later indicated that the cause of the hepatic abscesses was appendicitis. Upon surgical resection of the base of the cecum and appendix, an adenocarcinoma was demonstrated along the cecal wal...

Contexts in source publication

Context 1
... appendix and a portion of the cecum were surgically removed and sent to pathology. Pathologic examination demonstrated that the primary disease was a well-differentiated invasive carcinoma arising from a villous adenoma with carcinoma infiltrating through the colonic wall into subserosal tissue ( Fig. 5 A). The tumor occluded the appendiceal orifice and caused adhesions about the terminal ileum. ...
Context 2
... tumor occluded the appendiceal orifice and caused adhesions about the terminal ileum. Examination of the mid to distal appendix (corresponding with the abnormality on the initial CT - Fig. 2 ) showed margins along the staple line positive for adenocarcinoma involvement ( Fig. 5 B) suggesting Stage III disease. At One year later, after attempted surgical excision, the patient returned and a contrast-enhanced CT of the abdomen and pelvis demonstrated an enlarged right upper quadrant lymph node involving the right anterior pararenal fascia which was not present on initial CT scan ( Fig. 6 ). ...