Objective: To report the experience of our department on adenocarcinoma of\nthe appendix through a series of six (6) cases. Materials and Methods: This is\na retrospective study carried out from January 2010 to June 2015 collating all\ncases of adenocarcinoma of the appendix diagnosed at the department of visceral\nsurgery B in Hassan II University Hospital in Fez. Results: Six cases of\nadenocarcinoma of the appendix were recorded during the determined period\nof study. The mean age was 54.67 �± 16.99 years with the extreme ages ranging\nfrom 28 to 78 years. There was a female predominance with a sex ratio of 2.\nAll patients had no specific medical history. The revealing symptoms were the\nfollowing: appendicitis syndrome (1 case), bowel obstruction (1 case), psoas\nabscess (1 case) and fortuitous discovery during laparotomy for another\nproblem (3 cases). The following histological types found were: colloid adenocarcinoma\n(3 cases), mucinous adenocarcinoma (2 case), mucinous cystadenocarcinoma\nassociated with a moderately differentiated adenocarcinoma\nof the appendix (1 case). The surgical procedure consisted of a right hemicolectomy\nin 3 patients. Appendectomy followed by a right hemicolectomy and\ndrainage of psoas abscess was performed in two patients. Palliative ileocecal\nresection and Bouilly-Volkmann ileocolostomy was performed in one patent\nwho had carcinosis. All patients received adjuvant chemotherapy. The following\noccurred during follow-up: carcinosis (2 patients), a locoregional recurrence\n(2 patients). Two patients never returned for follow-up. Conclusion:\nTumor of the appendix is a rare and exceptional pathology. These tumors are\ngenerally discovered fortuitously or during histology of appendectomy specimens.\nThe treatment is usually surgical.
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