Appendix: large growth and/cancer

Posted by raymarie2018 @raymarie2018, Nov 3, 2018

CT scan for Prostate cancer shows Appendix is 3-4 times larger than normal, 34 mm or 1.5 inches in diameter. Seeing Oncology surgeon on Wednesday. Any thoughts or experience with Appendix abnormally large?

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Hi, @raymarie2018, and welcome to Mayo Clinic Connect. I'm hoping that this Wednesday's appointment will provide you or your loved one an opportunity to discuss the appendix found to be 3-4 times larger than normal on CT scan.

I'd like to invite other members who have talked about prostate cancer into this discussion to offer their input on the large appendix size discovered, like @kujhawk1978 @donnelson @hughj37 and @sleepy0. @predictable and @johnbishop may also have some insights for you.

I'm wondering if your medical oncologist had any input on the appendix size and referred you to the surgeon?

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Hi @raymarie2018, welcome to Connect. I'd like to understand a bit more. Did you have a CT scan because your doctor thinks you may have prostate cancer? Or was the CT scan being done as a followup after treatment for prostate cancer?

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Sorry, no help here. Ruptured appendix with ganggrene was removed 60 yrears ago

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Thank you the reply, glad it was successful

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@colleenyoung

Hi @raymarie2018, welcome to Connect. I'd like to understand a bit more. Did you have a CT scan because your doctor thinks you may have prostate cancer? Or was the CT scan being done as a followup after treatment for prostate cancer?

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My husband, Eldon, is 62 yrs old. Diabetic
Health issues in order according to Doctors (Kalispell MT).
1) Appendix, 2) Prostate, 3) Left Shoulder, 4) 2 tiny (dormant) nodules in lings) suggested to watch; CT lungs in 6-8 months.
PSA 5.1, Gleason score, 3 + 4 = 7, no lumps or thickness on physical exam. CT scan to see if cancer was only in the prostate, Bone Scan to see if cancer was in the bones;
Ct scan shows Prostate cancer is only in prostate, no metastasis, no lymph nodes noted on the CT scan around the prostate. The CT scan noted the enlarge appendix, “strongly suspicious for a cancerous growth”, only in area of the appendix, no metastasis, no lymph nodes around appendix, appendix is now up moved by the Liver. There is an odd formation of cells in the upper left shoulder bone going into his socket. This might be a cartilage issue or a rare cancer.
Tuesday,11-6-2018 seeing radiologist for a consult for the Prostate cancer - deciding what course to take, (know that we need to wait 6 weeks from the Biopsy to treat Prostate); Wednesday, 11-7-2018, seeing Oncology specialist surgeon for Appendix, all the Doctors want to treat/surgery on Appendix first; 11-13-2018, seeing Orthopedic about left shoulder. We feel like we are kind of in a maze at the moment, don't want to make hasty decisions too fast. My mother was a nurse and I have worked as a nurse aide, I am comfortable with the medical staff. I want to find the best treatment for my husband. We do have a son that lives in Peoria, AZ near a Mayo clinic in AZ.

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We have BCBS insurance, with a low deductible, it is a good insurance with no expense ceiling

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Hi @raymarie2018, I love Kalispell MT.

I can imagine that you want to have a clear understanding of all the options for you and your husband to make an informed about his treatment. Naturally, I encourage you to get a second opinion from Mayo Clinic AZ, especially since you have insurance and family in the area. Here is the contact information for Mayo Clinic http://mayocl.in/1mtmR63

Having said that, it looks like you have thorough appointments lined up to get more information locally too. This information will be useful for a referral should you decide to consult Mayo Clinic. But as a nurses aide, you know that.

I'm not a medical professional, but when scanning the available literature online, I saw a few rare cases (single case studies) of appendicitis in relation to prostate cancer. They relationship was either as a symptom that led to diagnosis or metastatic prostate cancer causing appendicitis. Are the doctors suggesting that the best first step is to remove the appendix and then test to see if a) it contains cancer and b) it is metastacized prostate cancer or a different cancer?

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@colleenyoung

Hi @raymarie2018, I love Kalispell MT.

I can imagine that you want to have a clear understanding of all the options for you and your husband to make an informed about his treatment. Naturally, I encourage you to get a second opinion from Mayo Clinic AZ, especially since you have insurance and family in the area. Here is the contact information for Mayo Clinic http://mayocl.in/1mtmR63

Having said that, it looks like you have thorough appointments lined up to get more information locally too. This information will be useful for a referral should you decide to consult Mayo Clinic. But as a nurses aide, you know that.

I'm not a medical professional, but when scanning the available literature online, I saw a few rare cases (single case studies) of appendicitis in relation to prostate cancer. They relationship was either as a symptom that led to diagnosis or metastatic prostate cancer causing appendicitis. Are the doctors suggesting that the best first step is to remove the appendix and then test to see if a) it contains cancer and b) it is metastacized prostate cancer or a different cancer?

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Do you have a connection to Kalispell or have visited in the past? We moved here in 1978, lots of changes in 40 years!

To date, the doctors have not connected the appendix with the prostate. I would be very interested in reading any connecting between the two areas of the body and the cancer connection.

Can you direct me to the cases that connect the appendix and the prostate?
I think that, currently, they want to remove the appendix, and get it tested, then go from there.

The Urologist did wonder if we opted to have the prostate removed, could both surgery's be done at the same time. I wonder if we would have to wait the 6 weeks after the prostate biopsy to have the surgery for both the appendix and the prostate?

I will check into the 2nd opinion link, thank you!

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