A CASE OF GOBLET CELL CARCINOID OF THE APPENDIX

A CASE OF GOBLET CELL CARCINOID OF THE APPENDIX
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附录杯状细胞类癌一例

DOI:
10.3919/jjsa.60.762
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发表时间:
1999
期刊:
影响因子:
--
通讯作者:
K. Tukada
K. Tukada
中科院分区:
--
文献类型:
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作者:
I. Yamashita;S. Hirokawa;Y. Karaki;Yoshito Kuroki;T. Sakakibara;K. Tukada

文献摘要

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我们已经经历了一个案件杯状细胞类癌的阑尾。一名71岁男子因腹痛、恶心和呕吐入院。详细检查显示回盲部有一直径约4厘米的肿块,并伴有小肠梗阻和大量腹水。急诊剖腹手术,我们诊断为盲肠癌和肠梗阻的情况下,由于大量转移到远端腹膜。进行了回盲部切除术和回肠部分切除术。组织病理学诊断为阑尾杯状细胞类癌(p3,se,ly 3,v3,n1)。术后给予小剂量顺铂-5-氟尿嘧啶(CDDP-5 FU)化疗。术后9个月,患者情况良好,无腹水潴留。最终,他在手术后10个月死于癌性恶病质。阑尾杯状细胞类癌是罕见的,包括我们的病例在内,在日本文献中只有52例报告。在这里,我们报告这一罕见的情况下,与文献回顾。
We have experienced a case of goblet cell carcinoid of the appendix. A 71-year-old man was admitted to the hospital because of abdominal pain, nausea and vomiting. Close examination showed a mass lesion about 4cm in diameter in the ileocecal resion and an ileus of the small intestine with massive ascites. Emergency laparotomy was performed and we diagnosed the case as cecal cancer and an ileus due to numerous metastases to the distant peritoneum. An ileocecal resection and a partial resection of the ileum were performed. The histopathological diagnosis was goblet cell carcinoid of the appendix (p3, se, ly3, v3, n 1). After the operation, chemotherapy with low dose CDDP-5 FU was started. He was well for nine months after the operation without retention of ascites. Eventually he died of cancerous cachexia 10 months after the operation. Goblet cell carcinoid of the appendix is rare, and only 52 cases including our case, have been reported in the Japanese literature. Here, we report this rare case with a review of the literature.