BMJ Case Reports 2018; doi:10.1136/bcr-2017-223298
  • Rare disease

Endoscopic diagnosis of a goblet cell carcinoid tumour of the appendix

  1. Ali Kohansal-Vajargah1
  1. 1Department of Gastroenterology, University of Alberta, Edmonton, Alberta, Canada
  2. 2Department of Anatomic Pathology, University of British Columbia, Kamloops, British Columbia, Canada
  1. Correspondence to Dr Vanessa Falk, vfalk{at}
  • Accepted 27 April 2018
  • Published 15 May 2018


Primary malignancies of the appendix are rare. Of these, less than 5% are goblet cell carcinoid (GCC) tumours. The majority of GCC present with findings of acute appendicitis or advanced peritoneal spread. We describe a rare presentation of GCC as subtle mucosal abnormality of the appendiceal orifice seen on colonoscopy performed for iron-deficiency anaemia. Biopsies were interpreted as adenocarcinoma; however, final surgical pathology confirmed GCC of the appendix with caecal involvement. The patient recovered well from surgery, anaemia resolved and follow-up did not show metastatic disease.


  • Contributors Acquisition of case data and images: AK, MB. Literature review: AK, VF (article guarantor). Histopathological analysis: MB. Drafting of manuscript; critical revision; approved the final manuscript: AK, VF, SZ-G, MB.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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