Abstract
“DOUBLE TROUBLE” A Case of Double Malignancy: Sigmoid Adenocarcinoma and Appendiceal Mucinous Neoplasm
Mikee Elaine Wee, M.D
Manila Doctors Hospital
Clinical Presentation: This is the case of a 76-year-old Filipino female who complained of abdominal pain with increasing abdominal girth and shortness of breath. She was initially diagnosed as a case of ovarian new growth through transvaginal ultrasound and plain whole abdominal CT scan, and was advised to undergo TAHBSO. Patient later on developed signs and symptoms of bowel obstruction, and thus underwent emergency laparotomy with possible colon resection. Intraoperatively, an obstructing sigmoid mass was discovered incidentally with a distal appendiceal tumor with custard yellow material on section. The histopathology report revealed low-grade appendiceal neoplasm in the setting of a sigmoid adenocarcinoma. Low-grade mucinous appendiceal neoplasm rarely recurs. It has excellent prognosis with complete resection. To date, there are only 4 reported cases of synchronous appendiceal neoplasm with colon cancer.
Important Dates to Remember
| JRRE Activities 2023-2024 |
Proposed Dates |
|---|---|
| Resumption of face-to-face Evidence-Based Medicine Workshop Venue to be announced once finalized. |
July 21, 2023 (Friday), 1-5pm |
| Monthly Critical Appraisal of Topics Conferences to be gaciliated by Research Coordinators per Institution | Monthly Critical Appraisal of Topics Conferences per Institution |
| CAT Plenary/Liver Con Dates: September 23, 2023 December 16, 2023 March 2024 (During the JAC) Resumption of face-to-face Quarterly Critical Appraisal of Topics facilitated by the JRRE |
2 Clinical scenarios and articles are to be sent to institutions each on August 2023, November 2023, and February 2024; |
| Hybrid Research Workshop 4 week asynchronous via Moodle, followed by a 1 day on-site Onsite Workshop Research Protocol Presentation for Level I GI Fellows-In-Training - Research Protocol Presentation: August 12, 2023 - Research Forums of the Tripartite Societies |
Week 1: July 15-21, 2023 Week 2: July 22-28, 2023 Week 3: July 29-August 4, 2023 Week 4: August 5-11, 2023 |
| Research Manuscript Workshop for level II GI Fellows-In-Training | January 6, 2024 |