Sarcomas primary in the appendix are still so infrequent as to warrant report of a single case. The majority of these are lymphosarcomas. Many authors (Beatson,1 Haggard,2 Murray,3 Apitz4 and recently Charache5) have reported primary sarcoma of the appendix, but from their gross descriptions the possibility that the new growth originated in the cecum, the ileocecal area or other parts of the intestinal tract is difficult to exclude.
A review of the literature reveals 23 undoubted examples of sarcoma primary in the appendix. Beatson's1 example of lymphosarcoma, reported in 1901, Brinkman's6 in 1920, cited by Emanuel Friend, Haggard's2 and recently Charache's5 case of leiomyosarcoma originating in the cecum have been excluded.
In the following case of appendical lymphosarcoma confined to the appendix diagnosis was not made preoperatively, and the case is interesting because of the age of the patient.
KNOX G. LYMPHOSARCOMA PRIMARY IN THE APPENDIX: A STUDY OF TWENTY-THREE CASES. Arch Surg. 1945;50(6):288–292. doi:10.1001/archsurg.1945.01230030299003
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