A CASE REPORT OF GOBLET -CELL CARCINOID OF THE APPENDIX-

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  • 虫垂杯細胞カルチノイドの1例

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Abstract

We describe a case of goblet cell carcinoid of the appendix with a review of the Japanese literature. A 48-year-old man was admitted to the hospital because of iliocecalgia. He diagnosed as having acute appendicitis, and an appendectomy was performed. In the resected material there were no tumor features in the macroscopic appearance which suggested a probable diagnosis of goblet cell carcinoid. Because histological examination revealed the goblet cell carcinoid in the resected appendix, a right hernicolectomy was added. Histologically, no neoplastic cells were detected in resected materal at the reoperation. Goblet cell cardinoid often presents difficulty in diagnosis preoperatively, and there have been no case diagnosed as the disease preoperatively in the Japanese literature. The difinitive diagnosis is made based on postoperative histopathologic study, and hence it would be important to explore resected appendix histologically even if it was done for appendicitis. It has been reported that malignant potential of these tumors appears to belong somewhere between those of cardinoids and adenocarcinomas of the appendix, but no guidelines for appropriate surgical approachs and indications of reoperation have been established as yet. Futher accumulation of clinical cases for discussion would be required.

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