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A Report of Four Cases

MAJID A. QURESHI, MD; WILLIAM T. FOLEY, MD; CHARLES D. HAFNER, MD, MS

AMA Arch Surg. 1963;87(3):453-456.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

Although adenocarcinoma of the vermiform appendix is a rare disease, it merits periodic consideration. In 1951 Hughes¹ accepted only 19 of the cases which he studied from the literature as true primary lesions of the appendix. Earlier reports were misleading, inasmuch as carcinoids were often recorded as grade 1 adenocarcinomas. Collins² discovered an incidence of 0.082% after studying 50,000 specimens, while McGregor³ reported an incidence of only 1 in 30,000. Brown and Husni⁴ reviewed the literature from 1900 to 1957 and found 52 cases. Since their report, the total was extended to 66 by Tarasidis,⁵ and more recently to 83 by Wilson's composite study from several hospitals in Vancouver, Canada.

This neoplasm in the early stages remains asymptomatic. However, as the condition progresses, it can manifest itself in a variety of ways. For instance, Niceberg⁷ reported a case presenting as an abdominal fistula associated . . . [Full Text PDF of this Article]

Author Affiliations
CINCINNATI

From the Departments of Surgery, Good Samaritan and St. Mary's Hospitals.

Footnotes
Submitted for publication Jan 28, 1963.

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