Accidental discovery of appendiceal carcinoma in gynecological surgery: A case report and literature review

Objective: To introduce the common diagnosis and treatment of appendix cancer. Methods: The discovery process and treatment plan of a patient with mucinous adenocarcinoma of appendix accidentally found in gynecological surgery in the Affiliated Hospital of Jining Medical College in May 2021 were summarized. Results: The patient was treated for right lower abdominal pain and considered as ovarian tumor. Preoperative abdominal enhanced CT showed that the appendix was thickened. Cancer was found in the exploration of the appendix during gynecological surgery. The right colon was removed. After surgery, he received chemotherapy. At present, he has recovered well. Conclusion: The incidence rate of appendiceal carcinoma is very low. Preoperative diagnosis is difficult. It is often found in operation or after operation. Preoperative examination and early evaluation of clinical manifestations are particularly important. Keywords: Abdominal pain; Pelvic mass; Appendix carcinoma; Mucous adenocarcinoma.