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