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J Clin Pathol 2002;55:551-553
  • Letters to JCP

Reduplication cyst of appendix with mucinous carcinoma and Müllerian metaplasia: a case report

  1. J D Sington1,
  2. B F Warren2,
  3. S Manek2
  1. 1Department of Cellular Pathology, Stoke Mandeville Hospital, Aylesbury HP21 8AL, UK
  2. 2Department of Cellular Pathology, John Radcliffe Hospital, Oxford OX3 9DU, UK
  1. Correspondence to:
 Dr J D Sington, Department of Cellular Pathology, Stoke Mandeville Hospital, Mandeville Road, Aylesbury, Buckinghamshire HP21 8AL, UK;
 jamiesington{at}yahoo.co.uk
  • Accepted 19 February 2002

Abstract

This report describes a case of mucinous carcinoma and Müllerian metaplasia arising within an appendiceal duplication cyst found incidentally during an emergency Caesarian section. Intestinal duplication cysts are rare and although there are occasional reports of malignant transformation, this is the first case where Müllerian metaplasia was found concurrently with a malignancy. There was no previous history of endometriosis and no other abnormalities were found at surgery. Treatment included surgical excision. The patient is alive and well two years after removal of the cyst.

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