NMS. Casos Clínicos

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Part II ♦ Specific Disorders

Pelvic abscess

Figure 8-16: CT scan showing a pelvic abscess.

Case 8.16  Right Lower Quadrant Pain with Mass on Appendix

A 34-year-old patient has suspected appendicitis. On exploration, you find a mass at the tip of the appendix.

Q: What management is appropriate for the following findings?

Case Variation 8.16.1. A 1-cm diameter, yellow firm mass at the tip of the appendix ◆ ◆ This is most likely a small carcinoid tumor (Fig. 8-17). Biopsy is not necessary. If the tumor is at the tip of the appendix, less than 2 cm in diameter, and there is no evidence of spread to the cecum or nearby nodes, a routine appendectomy may be performed. Figure 8-17: Location of carcinoid tumors of the appendix. A. Tip. B. Base. SAMPLE Carcinoid tumor at tip Carcinoid at base of appendix A B Cecum Appendix