Original article| Volume 86, ISSUE 2, P188-191, August 1953

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Primary carcinoma of the vermiform appendix

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      • 1.
        1. In neoplasms of the appendix the correct diagnosis is practically never made pre-operatively.
      • 2.
        2. The most frequent preoperative diagnosis is acute appendicitis.
      • 3.
        3. Most diagnoses are made by microscopic examination of appendices which have been removed incidentally during surgery for other conditions in the abdomen.
      • 4.
        4. Carcinoid of the appendix is about ten times as frequent as adenocarcinoma.
      • 5.
        5. Carcinoid more commonly appears as a bulbous swelling involving the distal third of the appendix, while adenocarcinoma is more prone to involve the proximal third and to appear as a diffuse thickening of the appendiceal wall.
      • 6.
        6. Carcinoma of the appendix occurs in from 0.2 to 0.5 per cent of all surgical appendices and comprises less than 0.5 per cent of all intestinal carcinomas.
      • 7.
        7. True adenocarcinoma of the appendix shares with carcinoma of the cecum characteristics of slow growth, involvement by direct extension and late metastases, tending to involve the mesoappendix and the glands about the ileocecal valve.
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        • Lee G.Q.
        • Blain J.H.
        Adenocarcinoma and carcinoid of the appendix.
        J. Internat. Coll. Surg. 1950; 13: 197
        • Vance C.A.
        Primary carcinoma of the vermiform appendix.
        A. J. Surg. 1934; 24: 854
        • Leonardo R.A.
        Primary carcinoma of the appendix versus carcinoid.
        Am. J. Surg. 1933; 22: 290
        • McWilliams C.A.
        Carcinoma of the vermiform appendix.
        Am. J. M. Sc. 1908; 135
        • Klots T.S.
        So-called primary carcinoma of the appendix.
        Geneesk. gids. 1929; 7: 633
        • Selinger J.
        Primary carcinoma of the vermiform appendix.
        Ann. Surg. 1929; 89: 276-281
        • Phillips E.W.
        • Isaac D.H.
        Primary carcinoma of the appendix.
        Brit. M. J. 1930; 1: 112
        • Montgomery J.C.
        • Johnson E.T.
        Primary carcinoma and carcinoid of the appendix.
        Missouri State M. A. 1931; 28: 215
        • Schuldt F.C.
        Primary adenocarcinoma of the appendix and carcinoid tumors.
        Minnesota Med. 1940; 23: 791
        • Marks E.S.
        • Whitaker Jr., H.W.
        Primary adenocarcinoma of the appendix.
        Surgery. 1950; 27: 720-725
        • Lesnick G.
        • Miller D.
        Adenocarcinoma of the appendix.
        Cancer. 1949; 2: 18-24
        • Jackson A.S.
        Carcinoma of the appendix.
        Arch. Surg. 1923; 6: 653-660