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| VERMIFORM APPENDIX WITHIN NORMAL LIMITS. | | VERMIFORM APPENDIX WITHIN NORMAL LIMITS. |
| </pre> | | </pre> |
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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. |
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| ==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}}
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| ===Gross===
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| See ''[[normal vermiform appendix]]''.
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| ===Microscopic===
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| See ''[[normal vermiform appendix]]''.
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| Notes:
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| *Should be ''[[submitted in total]]''.
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| DDx:
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| *[[Acute appendicitis]].
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| *[[Adenovirus appendicitis]].
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| *[[Appendiceal neuroendocrine tumour]].
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| *Non-appendiceal pathology - see DDx of ''[[acute appendicitis]].
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| **Isolated [[periappendicitis]].
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| *[[Crypt cell carcinoma]] - [[AKA]] ''goblet cell carcinoid''.
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| ===Sign out===
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| <pre>
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| VERMIFORM APPENDIX, APPENDECTOMY:
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| - APPENDIX NEGATIVE FOR ACUTE APPENDICITIS AND NEGATIVE FOR ACUTE PERIAPPENDICITIS.
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| </pre>
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| <pre>
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| VERMIFORM APPENDIX, APPENDECTOMY:
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| - APPENDIX WITH LYMPHOID HYPERPLASIA AND FOCAL MUCOSAL EROSIONS.
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| - NEGATIVE FOR ACUTE APPENDICITIS.
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| - NEGATIVE FOR ACUTE PERIAPPENDICITIS.
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| </pre>
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| ====Micro====
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| The sections show appendiceal wall with focal mucosa erosions and several intraluminal
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| neutrophil clusters. Lymphoid hyperplasia is present. Fecal material is present within
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| the lumen of the appendix.
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| There are no neutrophils within the muscularis propria. There is no serositis. There is
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| no distortion of the crypt architecture. No granulomas are identified. No cryptitis is
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| identified.
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| =Inflammatory pathologies= | | =Inflammatory pathologies= |
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| This grouping includes ''mucinous cystadenoma'' and ''mucinous cystadenocarcinoma''. | | This grouping includes ''mucinous cystadenoma'' and ''mucinous cystadenocarcinoma''. |
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| ==Goblet cell carcinoid== | | ==Goblet cell adenocarcinoma== |
| {{Main|Crypt cell carcinoma}} | | {{Main|Goblet cell adenocarcinoma}} |
| | *Previously known as ''goblet cell carcinoid''. |
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| ==Neuroendocrine tumour of the appendix== | | ==Neuroendocrine tumour of the appendix== |