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Appendix Cancer (Appendiceal Carcinoma)The appendix is a small hollow tube attached to the large colon (the large colon is also called large bowel or large intestine). The appendix is approximately 4 inches long and shaped like a worm. The appendix serves no known purpose, although it is thought to possibly play a role in the immune system. Very rarely, the appendix may become cancerous. Since the appendix is attached to the colon, appendix cancer is considered a type of colorectal cancer. Colorectal cancers are also part of a larger group of cancers of gastrointestinal tract, or GI cancers. Cancer of the appendix may cause appendicitis or cause the appendix to rupture. Sometimes this is the first symptom of appendix cancer. A ruptured appendix may cause a very serious condition called peritonitis, which is an infection of the lining of the abdomen and pelvis.