PMC2241597_01
Contrast-enhanced computerised tomography scan of the abdomen demonstrating a 6 cm x 7 cm tumour mass in the right iliac fossa (white arrow). Although the tumour mass was inseparable from the lower pole of the caecum, it appeared separate from the ileo-caecal valve.
1477-7819-6-4-1.jpg
PMC2241597_01_1477-7819-6-4-1.jpg
F1
A contrast-enhanced computerised tomography (CT) scan of the chest, abdomen and pelvis confirmed multiple liver metastases within both lobes of the liver but also a 6 x 7 cm tumour mass in the right iliac fossa (Figures 1 &2).
Contrast-enhanced computerised tomography scan of the abdomen demonstrating multiple liver metastases.
1477-7819-6-4-2.jpg
PMC2241597_01_1477-7819-6-4-2.jpg
F2
A contrast-enhanced computerised tomography (CT) scan of the chest, abdomen and pelvis confirmed multiple liver metastases within both lobes of the liver but also a 6 x 7 cm tumour mass in the right iliac fossa (Figures 1 &2).
Macroscopic image demonstrating the extrapulmonary small cell carcinoma which had surrounded and replaced the appendix without caecal involvement.
1477-7819-6-4-3.jpg
PMC2241597_01_1477-7819-6-4-3.jpg
F3
Macroscopic examination showed that the tumour had replaced the appendix without caecal involvement (Figure 3).
High-power microscopic view of the small cell carcinoma showing hyperchromatic nuclei, nuclear moulding and clumping of the nuclear chromatin.
1477-7819-6-4-4.jpg
PMC2241597_01_1477-7819-6-4-4.jpg
F4
Histological examination showed a small cell carcinoma tumour composed of small cells with round to ovoid nuclei, dispersed chromatin, scanty cytoplasm and abundant mitoses (Figure 4).