ID 110225
Title Transcription
チュウスイ ネンエキ ノウホウセン ガン ノ 5レイ
Title Alternative
Five cases of mucinous cystadenocarcinoma of the appendix vermiformis
Author
Kuroda, Takeshi Department of Surgery, Oe Kyodo Hospital
Yoshida, Sadahiro Department of Surgery, Oe Kyodo Hospital
Fukuyama, Mitsutoshi Department of Surgery, Oe Kyodo Hospital
Imatomi, Michiaki Department of Surgery, Oe Kyodo Hospital
Saitoh, Tsuneo Department of Surgery, Oe Kyodo Hospital
Keywords
mucinous cystadenocarcinoma of the appendix vermiformis
pseudomyxoma peritonei
intraperitoneal chemotherapy
Content Type
Journal Article
Description
We report five cases, two in detail, of mucinous cystadenocarcinoma of the appendix vermiformis.Case 1 : A 46-year-old woman undergoing surgical resection for suspected acute appendicitiswas found to have an enlarged appendix and intraabdominal pooling of mucin. Appendectomywith partial cecectomy was done, but the postoperative histological diagnosis was a mucinous cystadenocarcinoma of the appendix, necessitating ileocecal resection. Follow-up CT 7 months afterinitial operation showed a recurrent intraperitoneal tumor, which was then resected. She underwentintraperitoneal CDDP chemotherapy via a reservoir, and no symptom of recurrence has beenfound since. Case 2 : A 59-year-old woman undergoing ileocecal resection for appendiceal mucocelewas found 6 months later to have a metastatic liver tumor. Systemic chemotherapy markedlyreduced it, and intraabdominal CDDP chemotherapy instituted postoperatively has shown nosymptom of intraabdominal recurrence. From these results and three other cases, we considerthat adequate surgical resection and the removal of intraabdominal pooling of mucin and irrigationtogether can provide a good prognosis. Intraperitoneal CDDP chemotherapy is also useful ininhibiting the recurrence of pseudomyxoma peritonei.
Journal Title
四国医学雑誌
ISSN
00373699
NCID
AN00102041
Publisher
徳島医学会
Volume
64
Issue
1-2
Start Page
52
End Page
56
Sort Key
52
Published Date
2008-04-25
FullText File
language
jpn
TextVersion
Publisher