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Acute appendicitis is rarely the initial presentation of cecal cancer in the elderly patient

Acute appendicitis is rarely the initial presentation of carcinoma of the cecum in elderly patients. A 20‐year retrospective review of all patients 65 years of age or older presenting with proven acute appendicitis at the Montefiore Medical Center confirms this opinion. In only 1.8% of patients was acute appendicitis the initial presentation of an underlying carcinoma of the cecum. © 1993 Wiley‐Liss, Inc.