Canadian Journal of Gastroenterology and Hepatology

Canadian Journal of Gastroenterology and Hepatology / 2009 / Article

Brief Communication | Open Access

Volume 23 |Article ID 627019 | https://doi.org/10.1155/2009/627019

Hugh J Freeman, Douglas L Webber, Adam T Meneghetti, "An Appendiceal Neoplastic Lesion: Case Report and Implications for Colonoscopic Screening and Surveillance", Canadian Journal of Gastroenterology and Hepatology, vol. 23, Article ID 627019, 3 pages, 2009. https://doi.org/10.1155/2009/627019

An Appendiceal Neoplastic Lesion: Case Report and Implications for Colonoscopic Screening and Surveillance

Received17 May 2008
Accepted19 May 2008

Abstract

A 65-year-old man with a history of previously resected colonic adenomas had an apparent cecal lesion detected during colonoscopy. The polyp proved to be a tubulovillous adenoma with high-grade dysplasia involving most of the body of the appendix along with the base of the cecum. The appendiceal mucosa is biologically similar to the colonic mucosa, yet remains relatively ‘hidden’ in screening and surveillance studies, which suggests important implications for evolving detection strategies in the follow-up of patients with a previous colon polyp or cancer resections. Although endoscopic removal of the appendix has been reported, treatment of these localized appendiceal lesions requires a wide surgical excision.

Copyright © 2009 Hindawi Publishing Corporation. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


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