Difference between revisions of "Vermiform appendix"

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VERMIFORM APPENDIX WITHIN NORMAL LIMITS.
VERMIFORM APPENDIX WITHIN NORMAL LIMITS.
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Note:
*This is for a normal appendix within a larger operation. The article ''[[negative appendectomy]]'' deals with a normal appearing appendix that was removed for presumed appendicitis.


==Negative appendectomy==
==Negative appendectomy==
===General===
{{Main|Negative appendectomy}}
*Common.
An appendectomy done for presumed [[acute appendicitis]] that is pathologically within normal limits
*Use for quality control among general surgeons.{{fact}}
 
===Gross===
See ''[[normal vermiform appendix]]''.
 
===Microscopic===
See ''[[normal vermiform appendix]]''.
 
Notes:
*Should be ''[[submitted in total]]''.
 
DDx:
*[[Acute appendicitis]].
*[[Adenovirus appendicitis]].
*[[Appendiceal neuroendocrine tumour]].
*Non-appendiceal pathology - see DDx of ''[[acute appendicitis]].
**Isolated [[periappendicitis]].
*[[Crypt cell carcinoma]] - [[AKA]] ''goblet cell carcinoid''.
 
===Sign out===
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VERMIFORM APPENDIX, APPENDECTOMY:
- APPENDIX NEGATIVE FOR ACUTE APPENDICITIS AND NEGATIVE FOR ACUTE PERIAPPENDICITIS.
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VERMIFORM APPENDIX, APPENDECTOMY:
- APPENDIX WITH LYMPHOID HYPERPLASIA AND FOCAL MUCOSAL EROSIONS.
- NEGATIVE FOR ACUTE APPENDICITIS.
- NEGATIVE FOR ACUTE PERIAPPENDICITIS.
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====Micro====
The sections show appendiceal wall with focal mucosa erosions and several intraluminal
neutrophil clusters.  Lymphoid hyperplasia is present. Fecal material is present within
the lumen of the appendix.
 
There are no neutrophils within the muscularis propria. There is no serositis. There is
no distortion of the crypt architecture. No granulomas are identified. No cryptitis is
identified.


=Inflammatory pathologies=
=Inflammatory pathologies=
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This grouping includes ''mucinous cystadenoma'' and ''mucinous cystadenocarcinoma''.
This grouping includes ''mucinous cystadenoma'' and ''mucinous cystadenocarcinoma''.


==Goblet cell carcinoid==
==Goblet cell adenocarcinoma==
{{Main|Crypt cell carcinoma}}
{{Main|Goblet cell adenocarcinoma}}
*Previously known as ''goblet cell carcinoid''.


==Neuroendocrine tumour of the appendix==
==Neuroendocrine tumour of the appendix==
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