Ozasa Takahiro
Affiliate Master
Yamaguchi University
A case of goblet cell adenocarcinoma of appendix diagnosed after interval laparoscopic followed by conservative treatment and treated by additional ileocecal resection
Yamaguchi medical journal Volume 71 Issue 1
Page 29-35
published_at 2022-02-22
Title
虫垂炎保存的加療後に手術加療した虫垂goblet cell adenocarcinomaの1例
A case of goblet cell adenocarcinoma of appendix diagnosed after interval laparoscopic followed by conservative treatment and treated by additional ileocecal resection
Abstract
A 52-year-old-man visited hospital with right lower abdominal pain. We diagnosed acute appendicitis and intraperitoneal abscess. We decided to perform interval appendectomy and started antibacterial treatment. Antibacterial treatment was successful and the patient was discharged. Laparoscopic appendectomy was performed six month later. Only thickening of appendix mucosa was found in the specimen, but postoperative pathological diagnosis revealed goblet cell adenocarcinoma(GCA)of appendix. There was a risk factor associated with invasion depth T4, we performed ileocecal resection(D3)one month after the first surgery. The postoperative pathological examination result was pT4aN0M0 pStageⅡ.Recurrence has not been observed 18 months later. This case was an appendiceal GCA which was accidentally found in a specimen after interval appendectomy and treated by additional surgery. Infrequently, there are some reports of acute appendicitis associated with appendiceal tumor. In clinical practice, it is difficult to perform interval appendectomy for all appendicitis cases after conservative treatment, but it is suggested that for complicated appendicitis, we should perform interval appendectomy in consideration of age, ADL, and social background.
Creators
Matoba Katsuhiro
Creators
Nakatsu Hiroki
Creators
Kitazawa Souhei
Source Identifiers
[PISSN] 0513-1731
[NCID] AN00243156
Creator Keywords
虫垂炎保存的加療後
虫垂goblet cell adenocarcinoma
回盲部切除
Languages
jpn
Resource Type
journal article
Publishers
Yamaguchi University medical association
Date Issued
2022-02-22
File Version
Version of Record
Access Rights
open access