DOI: 10.1002/jpr3.12017 ISSN: 2691-171X

Appendiceal mucinous neoplasm in adolescence: Diagnosis, management, and surveillance

Andrew Farrar, Paola Blanco, Abigail Fabbrini, Lindsey Armstrong, Jonathan Metts, Hector Monforte, Sara Karjoo, Paul Danielson, Michael Wilsey
  • General Earth and Planetary Sciences
  • General Environmental Science


This case report describes a 17‐year‐old patient with a low‐grade appendiceal mucinous neoplasm. The patient presented with non‐bloody diarrhea, abdominal pain, and weight loss. A colonoscopy revealed a cecal polypoid mass that required laparoscopic surgery. The residual appendix was dilated with myxoglobulosis and histopathology confirmed the diagnosis of a low‐grade appendiceal mucinous neoplasm staged pT3Nx. The potential risk of pseudomyxoma peritonei is a serious complication of these tumors. Surveillance plans include computed tomography abdomen and pelvis, and tumor markers every 6 months for the next 2 years. This case highlights the importance of considering appendiceal malignancy in patients with abdominal pain and weight loss, despite the rarity of the disease. It also emphasizes the need for careful monitoring due to the possible complications associated with these tumors. Treatment and prognosis for appendiceal neoplasms depend on the histopathologic characteristics, tumor‐nodes‐metastasis stage, tumor grade, and presence of peritoneal disease.

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