S状結腸癌に併存した虫垂粘液嚢胞腺腫の1例

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  • A Case of Mucinous Cystadenoma of Appendix Concomitant with Sigmoid Colon Cancer.

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A 56-year-old male was admitted to our hospital because of detection of fecal occult blood. After exploration, sigmoid colon cancer was diagnosed, but no preoperative definite diagnosis was made for appendiceal lesion. On laparotomy, the appendiceal tumor had enlarged to 7 × 3 × 3 cm, which was found incidentally. Appendectomy and sigmoid colon resection were perfomed. The resected specimen of appendix was filled with gelatinous substance and pathologically diagnosed as mucinous cystadenoma (mucocele). Such a case of appendiceal mucocele with synchronous colorectal cancer is rare, and only 10 cases have been reported in Japanese literature. However if mucocele of appendix is found it is considered that exploration for other primary cancers in the colon should be carried out.

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