Endoscopic transcecal appendectomy

Posted by atti44 @atti44, Apr 26, 2022

My colonoscopy showed that I have a 4cm mass in the secum behind the IC valve. It seems to arise from the appendiceal orifice. Multiple biopsies were taken and the microscopic findings of this growth are not diagnostic of carsinoma. The surgeon, still saying that the polyp is precancerous recommends a right hemicolectomy, a major surgery. Searching the medical journals I found a comparitively much less procedure called 'Endoscopic transcecal appendectomy' to remove the appendiceal polyp. Please comment if you have experience with it. Thanks

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Welcome @atti44. It sounds like your diagnosis is raising more questions than answers. I agree that you should bring your questions to medical professionals. Have you discussed endoscopic transcecal appendectomy as a possible approach for your situation with your surgeon?

Endoscopic transcecal appendectomy is a relatively novel approach (new surgical practice), so not all treatments centers or surgeons may offer it. Have you considered a second opinion at a major learning medical insitution like Mayo Clinic?

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Thank you for your comment Colleen! Not yet but I will discuss it with my surgeon and also would like to ask for a second opinion.
I am not sure how to go about getting a second opinion with the Mayo Clinic. Do they have a contact email or phone number for this?

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@atti44

Thank you for your comment Colleen! Not yet but I will discuss it with my surgeon and also would like to ask for a second opinion.
I am not sure how to go about getting a second opinion with the Mayo Clinic. Do they have a contact email or phone number for this?

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Yes, Atti. You can self-refer to Mayo Clinic or get your doctor to submit a physicial referral. You can request a consult by calling Mayo Clinic or submitting an online form. You will find all the contact information, how to submit a request as well as frequently asked questions on Mayo Clinic's website here: http://mayocl.in/1mtmR63

If you have further questions, just ask. Happy to help.

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@colleenyoung

Yes, Atti. You can self-refer to Mayo Clinic or get your doctor to submit a physicial referral. You can request a consult by calling Mayo Clinic or submitting an online form. You will find all the contact information, how to submit a request as well as frequently asked questions on Mayo Clinic's website here: http://mayocl.in/1mtmR63

If you have further questions, just ask. Happy to help.

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Hi Colleen, I got in contact with the Colon and Rectal surgery thru the coordinator and they refered me to the Gastroenterology Department. Unfortunately they cannot take me because a 3 months backlog. I'll try other medical professionals.
Thanks for your help.

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@atti44

Hi Colleen, I got in contact with the Colon and Rectal surgery thru the coordinator and they refered me to the Gastroenterology Department. Unfortunately they cannot take me because a 3 months backlog. I'll try other medical professionals.
Thanks for your help.

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What other medical professionals will you try? I live outside the US, so I am trying to find out the quickest solution. I was told my cancer is very aggressive. I think time is critical.
Jim

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Hi Jim, for cancer in the colon I would contact the Colon and Rectal Surgery department at Mayo. They referred me to the Gastroenterology Department, they are the very busy one right now. Wishing you the best, Attila

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