Abstract
We report here a patient with adenocarcinoma of the appendix. The patient, a 72 year old lady, complained of discomfort after evacuating urine. Although this is most commonly present with signs of acute appendicitis, this patient was had on a overial cyst which was diagnosed by examinations, echograms and other means. At the operation, the cystic tumor was diagnosed as a benign mucinous cystic tumor with so the surgical procedure was appendectomy. However, mucinous adnocarcinoma was found in the cystic wall after operation. Usually, for patient such as this, surgical intervention is performed immediately after the first operation. But the patient refused a second operation. Diagnosis of cystic disease of the appendix is an easy preopeative diagnosis by CT and echogram image examination. However, it is too difficult to diagnose cancer that is part of the wall. So that frozen examination is recommended at the operation. This patient is very healthy with no recurrence up to the present time.
