EC Clinical and Medical Case Reports

Case Report Volume 8 Issue 5 - 2025

Non-Mucinous Appendiceal Adenocarcinoma; Literature Review and a Case Report

Hadeel Dherat*

Ministry of Health, Jordan

*Corresponding Author: Hadeel Dherat, Ministry of Health, Jordan.
Received: March 11, 2025; Published: April 10, 2025



Appendiceal neoplasms are uncommon, occurring in 0.5 - 1.0% of appendectomy specimens submitted for histopathological examination, with an annual incidence of roughly 1.2 cases per 100,000 individuals in the United States. The main objective of this study was to present a rare case of non-mucinous appendiceal adenocarcinoma.

NMAC of the appendix is an uncommon and unique lesion that occurs. It may arise from a preexisting sessile serrated adenoma. Non-mucinous adenocarcinomas of the appendix are genetically altered differently, therapeutically respond differently and have different prognostic outcomes than MAC. It is important to accurately identify NMAC from MAC because of these differences for effective therapeutic measures and treatment prognosis. A definite diagnosis requires a clear and sufficient sample and morphological description and detailed histopathological examination of the appendix. So, being more aware in your clinical practice and standardizing the histopathological diagnosis could help in identifying and treating this rare cancer.

 Keywords: Non-Mucinous Appendiceal Adenocarcinoma (NMAC); Appendiceal Neoplasms; Sessile Serrated Adenoma; Histopathological Examination; Prognosis and Treatment

  1. Osueni A and Chowdhury YS. “Appendix cancer”. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing (2025).
  2. Turan B., et al. “Analysis of survival and prognostic factors in appendix adenocarcinoma and mucinous carcinoma”. Updates in Surgery 2 (2025): 327-332.
  3. Ruoff Carl., et al. “Cancers of the appendix: Review of the literatures”. ISRN Oncology (2011): 728579.
  4. Shapiro R., et al. “Appendiceal carcinoid at a large tertiary center: pathologic findings and long-term follow-up evaluation”. American Journal of Surgery 6 (2011): 805-808.
  5. Connor SJ., et al. “Appendiceal tumors: retrospective clinicopathologic analysis of appendiceal tumors from 7,970 appendectomies”. Diseases of the Colon and Rectum1 (1998): 75-80.
  6. Dora Lam-Himlin and Elizabeth A Montgomery. “The neoplastic appendix: a practical approach”. Diagnostic Histopathology9 (2011): 395-403.
  7. McCusker ME., et al. “Primary malignant neoplasms of the appendix: a population-based study from the surveillance, epidemiology and end-results program, 1973-1998”. Cancer12 (2002): 3307-3312.
  8. Smeenk RM., et al. “Appendiceal neoplasms and pseudomyxoma peritonei: a population based study”. European Journal of Surgical Oncology 2 (2008): 196-201.
  9. Chang P and Attiyeh FF. “Adenocarcinoma of the appendix”. Diseases of the Colon and Rectum3 (1981): 176-180.
  10. Cortina R., et al. “Management and prognosis of adenocarcinoma of the appendix”. Diseases of the Colon and Rectum 8 (1995): 848-852.
  11. Jun-Te Hsu., et al. “Clinicopathologic features and predictors for survival of mucinous and nonmucinous appendiceal adenocarcinoma”. Digestive Surgery 5 (2008): 369-375.
  12. Pickhardt PJ., et al. “Primary neoplasms of the appendix: radiologic spectrum of disease with pathologic correlation”. Radiographics3 (2003): 645-662.
  13. Misdraji J and Young RH. “Primary epithelial neoplasms and other epithelial lesions of the appendix (excluding carcinoid tumors)”. Seminars in Diagnostic Pathology 2 (2004): 120-133.
  14. Andersson A., et al. “Primary carcinoma of the appendix”. Annals of Surgery 1 (1976): 53-57.
  15. Bahmad HF., et al. “Rising incidence of appendiceal neoplasms over time: Does pathological handling of appendectomy specimens play a role?” Annals of Diagnostic Pathology 52 (2021): 151724.
  16. Tsagkalidis V., et al. “Extent of resection and long-term outcomes for appendiceal adenocarcinoma: a SEER database analysis of mucinous and non-mucinous histologies”. Annals of Surgical Oncology 7 (2024): 4203-4212.
  17. Kelly Kaitlyn. “Management of appendix cancer”. Clinics in Colon and Rectal Surgery4 (2015): 247-255.
  18. Aloysius M., et al. “Cancer-specific survival in non-mucinous appendiceal adenocarcinomas after local resection versus right hemicolectomy: A Surveillance, Epidemiology, and End Results database study”. Surgery4 (2023): 759-765.
  19. Turner KM and Patel SH. “Low-risk non-mucinous adenocarcinoma of the appendix: When is an appendectomy enough?” Annals of Surgical Oncology 4 (2022): 2144-2145.
  20. Wang G., et al. “Chemotherapy in the treatment of different histological types of appendiceal cancers: a SEER based study”. BMC Cancer1 (2021): 778.
  21. AlMasri SS., et al. “The role of adjuvant chemotherapy following right hemicolectomy for non-metastatic mucinous and nonmucinous appendiceal adenocarcinoma”. Journal of Gastrointestinal Surgery 1 (2021): 171-180.
  22. Tejani Mohamedtaki A., et al. "Systemic therapy for advanced appendiceal adenocarcinoma: an analysis from the NCCN Oncology Outcomes Database for colorectal cancer". Journal of the National Comprehensive Cancer Network8 (2014): 1123-1130.‏
  23. Turaga KK., et al. "Importance of histologic subtype in the staging of appendiceal tumors”. Annals of Surgical Oncology 5 (2012): 1379-1385.
  24. Foote MB., et al. "Molecular classification of appendiceal adenocarcinoma”. Journal of Clinical Oncology 8 (2023): 1553-1564.
  25. Raghav K., et al. "Integrated clinico-molecular profiling of appendiceal adenocarcinoma reveals a unique grade-driven entity distinct from colorectal cancer”. British Journal of Cancer 8 (2020): 1262-1270.
  26. Kabbani W., et al. "Mucinous and nonmucinous appendiceal adenocarcinomas: different clinicopathological features but similar genetic alterations”. Modern Pathology 6 (2002): 599-605.

Hadeel Dherat. "Non-Mucinous Appendiceal Adenocarcinoma; Literature Review and a Case Report." EC Clinical and Medical Case Reports 8.5 (2025): 01-06.