MUCINOUS CYSTADENOMA OF APPENDIX.

Dr. Prabhat B. Nichkaode and Dr. Krishna Kanwar*

ABSTRACT

Mucinous cystadenoma of the appendix is a rare tumor of the appendix. It is found in 0.2 to 0.3% of resected appendices in Europe and the United States.[1,2] It is characterized by villous adenomatous changes of the appendiceal epithelium associated with marked distension of the appendiceal lumen with mucin. Acute abdominal pain like acute appendicitis is the common most presentation but about 25-30% patients are asymptomatic and condition is found incidentally on imaging or during operation.[3,4] The accurate preoperative diagnosis is the key in the management. Surgical excision without rupture is of paramount importance. Extent of surgery may be with or without Colonic resection, because of fear complications like Intestinal Obstruction and Spontaneous or Iatrogenic rupture of this neoplasm causing spillage of neoplastic cells causing Pseudomyxoma peritoni which is suppose to be a fearful condition. Laparoscopic Surgery is contraindicated in Mucinous cystadenoma of Appendix.[5,6] Recent reports suggest a safe laparoscopic surgical approach using a gauze technique.[5,7]

Keywords: Appendix, Mucocele, Mucous Cystadenoma.