A CASE OF PREOPERATIVELY DIAGNOSED APPENDICEAL MUCOCELE WITH A HIGH LEVEL OF CEA IN SERUM

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  • 血清CEA高値を示し術前診断しえた虫垂粘液嚢腫の1例

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Abstract

Disease of the appendix are common for our clinical surgions, but tumorous lesions in the appendix are relatively rare. Recently we experienced a case of appendiceal mucocele with a high level of serum CEA which was diagnosed preoperatively. A 66-year-old woman was seen at the hospital because of epigastric pain. Upper gastrointestinal series was performed and a high level of CEA in serum was pointed out. Barium enema examination showed a submucosal tumor in the cecum without demonstrating the appendix. On abdominal US and CT examination, a cystic mass with homogenous content was observed in the pelvic cavity and a diagnosis of appendiceal mucocele was estabilished. Ileocecal, resection was performed. Pathologically, it was diagnosed as mucinous cystadenoma. Serum CEA level, which had been as 11.8ng/ml, went down to the normal range 3.2ng/ml after the operation. The patient is followed up on an ambulant basis. There has been no sigh of recurrence and seurm CEA level is kept within the normal range, as of 2 years after the operation.

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