Appendix is one of the most common organs harboring intra-abdominal pathologies both in acute and chronic settings. Appendiceal diseases in elderly population is hard to differentiate owing to the age related changes and wide spectrum of differential diagnosis. Even uncomplicated diseases of the appendix can have features mimicking a neoplasm. Here we present two cases of appendiceal masses. First case presented with symptoms and findings of an invasive neoplasm and the second case had findings of a pelvic mass. Both cases were treated successfully.