ID 97922
Title Transcription
チュウスイ ゲンパツ フクゴウガタ セン シンケイ ナイブンピツ ガン ノ イチチケンレイ
Title Alternative
A Case of Primary Mixed adenoneuroendocrine carcinoma of the Appendix
Author
Kondo, Asami Division of Surgery, Tokushima Red Cross Hospital
Yuasa, Yasuhiro Division of Surgery, Tokushima Red Cross Hospital
Okitsu, Hiroshi Division of Surgery, Tokushima Red Cross Hospital
Kuramoto, Shunsuke Division of Surgery, Tokushima Red Cross Hospital
Matsumoto, Daisuke Division of Surgery, Tokushima Red Cross Hospital
Furukawa, Takako Division of Surgery, Tokushima Red Cross Hospital
Matsuoka, Yutaka Division of Surgery, Tokushima Red Cross Hospital
Kihara, Ayumi Division of Surgery, Tokushima Red Cross Hospital
Ishikura, Hisashi Division of Surgery, Tokushima Red Cross Hospital
Kimura, Suguru Division of Surgery, Tokushima Red Cross Hospital
Sakata, Akihiro Division of Surgery, Tokushima Red Cross Hospital
Kuwayama, Yasuharu Division of Gastroenterology, Tokushima Red Cross Hospital
Yamashita, Michiko Division of Pathology, Tokushima Red Cross Hospital
Hujii, Yoshiyuki Division of Pathology, Tokushima Red Cross Hospital
Okitsu, Natsu Division of Surgery, Taoka Hospital
Keywords
primary signet ring cell carcinoma
postchemotherapy
panitumumab
Content Type
Journal Article
Description
A52-year-old man visited our hospital because of epigastralgia. The colonoscopic examination revealed an about 4cm-protruded lesion like SMT on the appendix and findings of the biopsy specimen were compatible with the disgnosis of signet ring cell carcinoma. The primary lesion was unknown by upper gastrointestinal endoscopy, CT and PET, and the tumor markers were normal revel. At laparotomy, severe peritoneal metastasis was revealed in the abdominal cavity, especially appendix. Severe stenosis of ileocecum was found, so we conducted ileocecal resection. The histopathological diagnosis was primary signet ring cell caicinoma of appendix, SE, N2, M0, P3, pStage Ⅳ. Postoperatively mFOLFOX was started, but allergic reaction was seen after1cycle. We started Panitumumab/CPT-11and the patient attended our emergency department with shivering chill and fever on treatment day10. The next day he became shock state and CT revealed free air. Operation might not save his life and we started supportive care. He died on the day. The cause of his death was peritonitis by cancer perforation.
Journal Title
四国医学雑誌
ISSN
00373699
NCID
AN00102041
Publisher
徳島医学会
Volume
68
Issue
1-2
Start Page
73
End Page
78
Sort Key
73
Published Date
2012-04-25
Remark
FullText File
language
jpn