Preoperatively Diagnosed Primary Carcinoma of the Vermiform Appendix due to a Discrepancy between the Laboratory Data and Physical Findings : Report of Two Cases

• TAKAI Maki

  Department of Surgery, Munakata Medical Association Hospital

• HASHIMOTO Kenkichi

  Department of Surgery, Munakata Medical Association Hospital

• HASUDA Shota

  Department of Surgery, Munakata Medical Association Hospital

• KAJIYAMA Kiyoshi

  Department of Surgery, Munakata Medical Association Hospital

• TATEISHI Masahiro

  Department of Surgery, Munakata Medical Association Hospital

• MAEKAWA Soichiro

  Department of Surgery, Munakata Medical Association Hospital

Bibliographic Information

Other Title

• 検査所見と理学所見の乖離により術前確定診断しえた虫垂癌2例

Abstract

Vermiform appendix carcinoma is rare and difficult to diagnose preoperatively. We report two cases. Laboratory data in case 1 was WBC of 35,800/mm^3 and CRP of 7.1mg/dl, while that in case 2 was WBC of 10,900/mm^3 and CRP of 21.2mg/dl. Imaging studies suggested abscess due to the perforated appendicitis, but neither showed strong tenderness at the cecum. Colonoscopy showed malignant change at the orifice of the vermi form appendix, leading to a diagnose is carcinoma of the vermiform appendix. We emphasize that among patients with cecal lesion, a discrepancy between laboratory data and physical findings suggests colonoscopy to obtain a definitive preoperative diagnosis of carcinoma of the vermiform appendix.

Journal

• The Japanese journal of gastroenterological surgery

  The Japanese journal of gastroenterological surgery 39 (3), 384-389, 2006-03-01

  The Japanese Society of Gastroenterological Surgery

Keywords

• primary carcinoma of the vermiform appendix
• preoperative diagnosis
• colonoscopy

Details

• CRID: 1574231876681002112
• NII Article ID: 110004659239
• NII Book ID: AN00192066
• ISSN: 03869768
• Web Site: https://search.jamas.or.jp/link/ui/2006114282
• Text Lang: ja
• Data Source:
  • CiNii Articles