One hundred ninety-eight cases of lymphoid hyperplasia of the appendix, some of which had other associated pathology, have been analyzed.

Comparison has been made with an analogous series of acute appendicitis in children.

There is no precise differential diagnosis between acute appendicitis and lymphoid hyperplasia of the appendix. Each case has to be watched carefully, and any increase in local signs is an indication for surgery.

Lymphoid hyperplasia is frequently the precursor of acute appendicitis.

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