Document Detail


Incidentally Discovered Adenocarcinoma in situ of the Appendix in a Young Woman.
MedLine Citation:
PMID:  23275764     Owner:  NLM     Status:  PubMed-not-MEDLINE    
Abstract/OtherAbstract:
Primary appendiceal adenocarcinoma is an infrequent disease. This report presents a rare case of incidentally discovered carcinoma in situ of the appendix. A 35-year-old parturient female simultaneously underwent appendectomy and oophorectomy due to an ovarian abscess that adhered to the appendix during cesarean section. Although her excised appendix showed no apparent tumorous lesion, histopathological examination revealed carcinoma in situ in the excised appendix. She underwent additional right hemicolectomy a few days later due to the possibility of a positive surgical margin. Histopathological examination detected no malignant cells in the resected specimen. She was discharged without any complications and has since remained healthy. Appendiceal adenocarcinoma is generally considered to be difficult to diagnose during the early stage because it seldom shows any specific findings. This results in a poor prognosis. Histopathological examination is not always conducted for appendices resected during other surgery. However, the current study suggests that a careful routine histopathological examination of excised appendix, as well as careful preoperative examination and detailed intraperitoneal inspection during surgery, is indeed important to detect occult appendiceal tumors.
Authors:
Noriaki Koizumi; Yasutoshi Murayama; Yoshiaki Kuriu; Masayoshi Nakanishi; Kazuma Okamoto; Yukihito Kokuba; Eigo Otsuji
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Publication Detail:
Type:  Journal Article     Date:  2012-09-22
Journal Detail:
Title:  Case reports in gastroenterology     Volume:  6     ISSN:  1662-0631     ISO Abbreviation:  Case Rep Gastroenterol     Publication Date:  2012 Sep 
Date Detail:
Created Date:  2012-12-31     Completed Date:  2013-01-01     Revised Date:  2013-05-30    
Medline Journal Info:
Nlm Unique ID:  101474819     Medline TA:  Case Rep Gastroenterol     Country:  Switzerland    
Other Details:
Languages:  eng     Pagination:  726-33     Citation Subset:  -    
Affiliation:
Division of Digestive Surgery, Department of Surgery, Kyoto Prefectural University of Medicine, Kyoto, Japan.
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