Taking Caution at Road's End: Incidental Finding of Appendiceal Goblet Cell Tumor on Colonoscopy

ABSTRACT Cancer of the appendix is an uncommon malignancy that is rarely diagnosed on colonoscopy. We present a case of incidentally discovered goblet cell adenocarcinoma of the appendix and the subsequent management. The patient initially presented with progressive epigastric pain in the setting of...

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Bibliographic Details
Published inACG case reports journal Vol. 10; no. 11; p. e01211
Main Authors Kozacek, Kyler, Reese, Ruth, Laczek, Jeffrey, Voorhees, Patrick
Format Journal Article
LanguageEnglish
Published 01.11.2023
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Summary:ABSTRACT Cancer of the appendix is an uncommon malignancy that is rarely diagnosed on colonoscopy. We present a case of incidentally discovered goblet cell adenocarcinoma of the appendix and the subsequent management. The patient initially presented with progressive epigastric pain in the setting of a family history of gastric cancer and personal history of colon polyps, for which surveillance was due. Bidirectional endoscopy was performed, from which biopsied tissue of an abnormal-appearing appendiceal orifice confirmed goblet cell adenocarcinoma. This case highlights the importance of identification of the appendiceal orifice in all colonoscopies and tissue sampling in cases of atypical-appearing anatomy.
ISSN:2326-3253
2326-3253
DOI:10.14309/crj.0000000000001211