| 篇名 |
Primary Adenocarcinoma of the Appendix: Report of a Case |
| 作者 |
Kee-Horng Lai, Guo-Ning Shau, Kuen-Ming Chang, Chih-Kuang Lin, Ming-Chung Yu |
| 卷期/出版年月 |
43卷2期 (2010/4) |
| 頁次 |
87-90 |
| 摘要 |
Primary adenocarcinoma of the appendix is a rare gastrointestinal malignancy.
Clinically, it presents as appendicitis without symptoms or signs suggesting a
neoplasm before operation, and it is discovered only by a pathological examination
after surgery. To date, therefore, the formal treatment for adenocarcinoma of the
appendix has almost been deemed to be a two-stage operation.
We hereby report a case of suspected appendicitis where an appendectomy was
carried out in the usual manner. The pathological examination of the specimen
showed adenocarcinoma with infiltration into the appendiceal wall. A right
hemicolectomy was conducted in the second operation. The postoperative course was
uneventful. The patient was found to be in good condition in the succeeding followup.
Although we were unable to avoid the two-stage operation for our patient, several
measures are proposed to make the correct diagnosis in time, which during the
primary operation will enable the surgeon to carry out the proper treatment for the
really serious disease. |
| 關鍵詞 |
acute appendicitis, adenocarcinoma of appendix |
| 分類 |
Case Report |
