Patient | Sex | Age (yr.) | Clinical Parameters | Location of APC | Size (cm) | Histology | Further Investigation | Surgery |
1. | M | 14 | Pain in RLQ associated with nausea Tenderness positive in RLQ WBC 18600/μlCRP 13 mg/L | Mid Appendix | 0.8 × 0.5 | Well differentiated Invading mesoappendix Lymphovascular & perineural invasion Positive chromogranin & synaptophysin Margins tumor free | CT Abd: Normal 5-HIAA: Normal | Appendectomy |
2. | M | 9 | Pain in RLQ associated with nausea and low-grade fever Tenderness positive in RLQ WBC 11,200/μlCRP 18 mg/L | Mid Appendix | 0.4 × 0.4 | Solid nests and trabeculae of neuroendocrine cells, Lymphovascular invasion but no perineural invasionPositive chromogranin & synaptophysin Margins tumor free | CT Abd: Normal 5-HIAA: Normal | Appendectomy |
3. | M | 13 | Pain in RLQ associated with vomiting and fever Tenderness positive in RLQ WBC 17,600/μl, | Tip of Appendix | 1 × 0.8 | CT with lymphovascular & perineural invasionMargins tumor free | CT Abd: Normal 5-HIAA: Normal | Appendectomy |