Resident Program - Case of the Month
September 2019 - Presented by Miao Tian (Mentored by Karen Matsukuma)
Clinical History
A 65-year-old man presented with one week of non-radiating right lower quadrant abdominal pain associated with nausea, vomiting, and anorexia. CT on admission showed acute non-perforated appendicitis. He was subsequently taken to the OR for laparoscopic appendectomy. Intraoperatively he was found to have perforated appendicitis with murky, purulent fluid throughout the abdomen.
Histology
Figure 1
Figure 2
Figure 3
Figure 4. CDX2
Figure 5. Synaptophysin
The correct answer is:
D.)
Low-grade appendiceal goblet cell adenocarcinoma (LG-GCAC) (formerly typical goblet cell carcinoid) is a mixed endocrine-exocrine neoplasm almost exclusively seen in the appendix.
> Learn more about this diagnosis.
D.)
Low-grade appendiceal goblet cell adenocarcinoma (LG-GCAC) (formerly typical goblet cell carcinoid) is a mixed endocrine-exocrine neoplasm almost exclusively seen in the appendix.
> Learn more about this diagnosis.
Meet our Residency Program Director
