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Right pelvic mass in a patient with a radically resected carcinoid of the appendix
  1. N Fazio1,
  2. F Luca2,
  3. L Monfardini3,
  4. G Pelosi4,
  5. L Bodei5,
  6. K Lorizzo1,
  7. G Di Meglio1,
  8. B Gibelli6,
  9. D Ravizza7,
  10. G Bonomo3,
  11. C M Grana5,
  12. S Baio5,
  13. M Squadroni1,
  14. G Paganelli5,
  15. F de Braud1
  1. 1
    Medical Oncology, European Institute of Oncology, Milan, Italy
  2. 2
    Abdominopelvic Surgery, European Institute of Oncology, Milan, Italy
  3. 3
    Radiology, European Institute of Oncology, Milan, Italy
  4. 4
    Pathology, European Institute of Oncology, Milan, Italy
  5. 5
    Nuclear Medicine, European Institute of Oncology, Milan, Italy
  6. 6
    Endocrinology, European Institute of Oncology, Milan, Italy
  7. 7
    Endoscopy, European Institute of Oncology, Milan, Italy
  1. Correspondence to Dr N Fazio, Medical Oncology, European Institute of Oncology, 20141 Milan, Italy; nicola.fazio{at}ieo.it

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Clinical presentation

A 22-year-old male patient with a radiologically detected right pelvic mass presented without any symptoms. Two years before he underwent appendectomy due to acute appendicitis elsewhere, and a carcinoid was incidentally diagnosed. Our revised histological report confirmed a conventional carcinoid of the appendix, excluding a goblet cell carcinoid (adenocarcinoid). The tumour infiltrated the whole wall thickness without serosal invasion; margins were negative; the macroscopic size of the tumour had been omitted in the original pathology report.

Immunohistochemical chromogranin-A, neuron specific enolase, and synaptophysin were positive. Follow-up was negative over the two subsequent …

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