Interesting Case of the Month - (IGHP, ICOM) - December
december 2024
Clinical History-
52-year-old male with pain in RIF and constipation for around 6 months.
CECT Abdomen- Eccentric intraluminal mass involving base of caecum and showing extension into the proximal base and body of appendix with appendicular mucocoele formation.
CEA -3 ng/ ml. Laproscopic radical right hemicolectomy was performed
From the images below identify the likely disease?
Colonoscopy Images-
Colonoscopy- A large polypoidal growth in caecum involving appendicular opening? Caecal lateral spreading tumour (Granular type LST -G)
Gross Images-
Gross showing dilated mucin filled appendix with intraluminal growth extending upto appendicular opening
Microscopy Images-
Microscopy showed a proliferative villiform growth with areas of muscle invasion
Diagnosis-
High grade appendiceal mucinous neoplasm (HAMN)
Low grade appendiceal mucinous neoplasm (HAMN)
High grade appendiceal mucinous neoplasm (HAMN) with invasion in muscle
Low grade appendiceal mucinous neoplasm (LAMN) with invasion in muscle
