Table of Contents Author Guidelines Submit a Manuscript
Case Reports in Obstetrics and Gynecology
Volume 2013, Article ID 892378, 3 pages
http://dx.doi.org/10.1155/2013/892378
Case Report

Endometrial Adenocarcinoma and Mucocele of the Appendix: An Unusual Coexistence

13rd Department of Obstetrics and Gynecology, Aristotle University of Thessaloniki, Konstantinoupoleos 49, 54624 Thessaloniki, Greece
25th Department of General Surgery, Aristotle University of Thessaloniki, Konstantinoupoleos 49, 54624 Thessaloniki, Greece
3Department of Pathology, Hippokration General Hospital, Konstantinoupoleos 49, 54624 Thessaloniki, Greece

Received 16 April 2013; Accepted 8 May 2013

Academic Editors: S. Salhan and R. Shaco-Levy

Copyright © 2013 Ioannis Kalogiannidis et al. 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.

Abstract

Appendiceal mucocele is a rare clinical entity, which is however quite often associated with mucinous ovarian tumor. The coexistence of mucinous cystadenoma of the appendix and endometrial adenocarcinoma has not been reported before. A 49-year-old woman presented to our clinic with postmenopausal bleeding and no other symptom. Endometrial biopsy revealed endometrial adenocarcinoma of endometrioid type (grade I). Preoperative CT scanning revealed an appendiceal mucocele, and a colonoscopy confirmed the diagnosis. The patient underwent total abdominal hysterectomy with bilateral salpingo-oophorectomy and appendectomy. The final histopathological examination showed a mucinous cystadenoma of the appendix and confirmed the diagnosis of endometrioid endometrial adenocarcinoma. The coexistence of appendiceal mucocele and female genital tract pathology is rare. However, gynecologists should keep a high level of suspicion for such possible coexistence. Both the diagnostic approach and the therapeutic management should be multidisciplinary, most importantly with the involvement of general surgeons.