| 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
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| Title Alternative | A Case of Primary Mixed adenoneuroendocrine carcinoma of the Appendix
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| 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
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
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| 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.
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| Journal Title |
四国医学雑誌
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| ISSN | 00373699
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| NCID | AN00102041
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| Publisher | 徳島医学会
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| Volume | 68
|
| Issue | 1-2
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| Start Page | 73
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| End Page | 78
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| Sort Key | 73
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| Published Date | 2012-04-25
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| Remark | |
| FullText File | |
| language |
jpn
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| departments |
Medical Sciences
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