コウ CEA ケッショウ オ テイシタ チュウスイ ネンエキ ノウホウ センシュ ノ 1レイ
A case of mucocele of the appendlx associated with an increase in serum cea level
沖津, 奈都 田岡病院外科
吉岡, 一夫 田岡病院外科
高尾, 倫子 田岡病院外科
森本, 広次郎 田岡病院外科
高橋, 敬治 田岡病院外科
mucocele of the appendix
A case of mucocele of the appendix associated with an increase in serum CEA level is presented. A 80-year-old women was seen at our hospital because she noticed a right lower abdominal mass and three months earlier. Physical examination revealed a mass with a tenderness . Except for anemia detected on admission, there was no biochemical abnormalities. High levels of tumor markers were noted ; CEA was 16.4 ng/ml. CT examination showed a cystic lesion at the ileo-cecal region. With a preoperative diagnosis of appebdiceal mucocele, cecal resection was performed. The resected appendix was smooth in surface and a monolocular cyst, and the lumen was filled a yellowish and gelatine-like substance.
The appendix was histologically diagnosed as mucinous cystadenoma.
The serum CEA level returned normal,1.5 ng/ml, half a month after the surgery
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