Hello,

Did you know August is Appendix Cancer Awareness Month? This type of cancer is rare, but real. And when something is rare, many people don’t know about it, don’t talk about it, and don’t always get answers when they need them most. That is why this month, we take time to explain it clearly.

The appendix is a small, finger-shaped organ attached to the large intestine. For many years, people thought the appendix had no purpose — like an extra part of the body.

Today, research shows the appendix may help the immune system and protect “good bacteria” in the gut. So even if it is small, it has a role in keeping us balanced.

Appendix cancer starts when cells inside the appendix grow in a way that is not normal.

• It is very rare. Globally, only about 1–2 people in a million are diagnosed each year.

• In recent years, more cases have been seen in younger people. Studies show rates are rising among people under 50.

There are several types:

• Carcinoid tumors – slow-growing, sometimes found by accident.

• Adenocarcinoma – looks like colon cancer under the microscope.

• Mucinous neoplasms – produce mucus; in advanced stages it can spread in the belly (called PMP).

• Goblet cell tumors – rare and often more aggressive.

The hardest part is that appendix cancer often hides. Many people only find out when doctors remove the appendix for what they think is appendicitis.

But possible signs can include:

• Pain in the lower right belly

• Feeling bloated or swollen

• Changes in bathroom habits (constipation, diarrhea)

• Losing weight without trying

• Feeling full quickly after eating

• For women: sometimes confused with ovary problems

Appendix cancer is usually found:

• During appendectomy surgery

• On imaging scans like CT or MRI

• By biopsy (testing a piece of tissue)

Because it is rare, it can be missed. That’s why awareness is important — so both people and doctors think of it sooner.

Treatment depends on the type and stage:

• Appendectomy – removing the appendix.

• Right hemicolectomy – removing a piece of the intestine if the tumor is larger.

• Cytoreductive surgery + HIPEC – big surgery to remove tumors in the abdomen, followed by a warm chemotherapy wash. This can give some patients long survival, even up to 90% in the best cases.

• Systemic chemotherapy – regular chemo through the veins, especially for advanced stages.

• Follow-up – regular scans and blood tests to check if the cancer comes back.

• Early stage: 67–97% of patients live at least 5 years after diagnosis.

• Carcinoid tumors: about 70–80% survive long-term (sometimes higher).

• Advanced stages: survival can drop to 10%.

• With surgery + HIPEC: long-term survival can reach up to 90% for carefully selected patients.

Because appendix cancer is rare, it is often:

• Under-researched (less funding for studies)

• Misdiagnosed (confused with appendicitis or other problems)

• Lonely (warriors feel invisible because few people understand)

By sharing this knowledge, we make sure appendix cancer is not ignored. Awareness can lead to earlier diagnosis, better treatment, and stronger support.

At Tutti Cancer Warriors, we know every cancer story is more than numbers. Behind every diagnosis is a person, a family, and dreams for the future.

This August, let’s use our voices for appendix cancer warriors. Share the facts, start a conversation, and remember: rare doesn’t mean less important.

Together, we can turn awareness into action.

Ready for a little brain boost?

This week’s puzzle is based on previous edition — so if you haven’t read it yet, you might want to catch up first. The answers are hidden in plain sight.