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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
B030071000104
881 KB
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 Ozasa Takahiro
Affiliate Master Yamaguchi University
[kakenhi]15501 grid.268397.1
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
Subjects
医学 ( Other)
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