Elsevier

Gastrointestinal Endoscopy

Volume 86, Issue 3, September 2017, Pages 569-571
Gastrointestinal Endoscopy

At the focal point
Peritoneal carcinomatosis from signet-ring cell adenocarcinoma of the appendix

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All authors disclosed no financial relationships relevant to this publication.

Commentary “The most important thing is to enjoy your life—to be happy—it’s all that matters.” Audrey Hepburn, died of appendiceal cancer at age 63.

Cancer of the appendix is a rare condition that accounts for about 0.5% of all diagnosed tumors arising from the GI tract. The majority correspond to the carcinoid lineage, with only one third of cases being adenocarcinomas. Mucinous adenocarcinomas of the appendix are

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    The majority of primary gastrointestinal tumours of this type are gastric tumours, but they can also arise throughout the gastrointestinal tract [2]. The appendicular origin of this type of carcinoma is extremely rare and remains controversial [3,4]. This aggressive cancer is often only discovered at the metastatic stage due to its highly lymphophilic nature, consequently resulting in a very poor prognosis [2].

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