case_images: PMC3350297_01
case_images: A representative cross-section of the mass on CT scan. The mass was secondarily infected following CT guided biopsy as indicated by the locules of gas within the tumour mass.
case_images: CRIM.SURGERY2011-384762.001.jpg
case_images: PMC3350297_01_CRIM.SURGERY2011-384762.001.jpg
case_images: fig1
case_images: CA19.9) were normal. CT scan revealed a large necrotic mass measuring 19 x 17 cm (Figure 1) with no evidence of intra-abdominal or systemic dissemination.
case_images: En bloc hemicolectomy specimen, showing cecum and terminal ileum with overlying tumour. Arrow points to part of the appendix wall.
case_images: CRIM.SURGERY2011-384762.002.jpg
case_images: PMC3350297_01_CRIM.SURGERY2011-384762.002.jpg
case_images: fig2
case_images: Pathologic examination showed a large tumour arising from the wall of the appendix (Figure 2).
case_images: Haematoxylin and eosin section of the tumour under low power field, showing the highly cellular tumour with areas demonstrating smooth muscle differentiation.
case_images: CRIM.SURGERY2011-384762.003.jpg
case_images: PMC3350297_01_CRIM.SURGERY2011-384762.003.jpg
case_images: fig3
case_images: Microscopically, the tumour is a malignant pleomorphic tumour comprising spindle cells, epithelioid cells, giant cells, and myomatous areas (Figure 3).