Kohashi Toshihiko, Itamoto Toshiyuki, Yamasaki Hiroyuki, Yokoya Hitoshi, Yonehara Shuji, Asahara Toshimasa
Department of Surgery, Division of Frontier Medical Science, Programs for Biomedical Research, Graduate School of Biomedical Sciences, Hiroshima University, 1-2-3 Kasumi, Minami-ku, Hiroshima 734-8551, Japan.
Hiroshima J Med Sci. 2006 Sep;55(3):93-5.
Sciatic hernia and early-stage appendiceal adenocarcinoma are rare disorders. We report herein a case of an early stage of appendiceal adenocarcinoma found incidentally during an operation for sciatic hernia. An 80-year-old woman was admitted to our hospital with abdominal distension. Abdominal computed tomography showed a small bowel obstruction and a small bowel loop through the right sciatic foramen outside the pelvic cavity. During an operation for the repair of the sciatic hernia, a deformed appendix was found incidentally and a simple appendectomy was also performed. Histological examination of the excised appendix showed well-differentiated adenocarcinoma confined to the mucosal layer in a tubulo-villous adenoma. At 13-month follow-up, the patient is doing well without evidence of recurrence or metastasis.
坐骨疝和早期阑尾腺癌是罕见疾病。我们在此报告一例在坐骨疝手术中偶然发现的早期阑尾腺癌病例。一名80岁女性因腹胀入院。腹部计算机断层扫描显示小肠梗阻，盆腔外有一小肠袢通过右侧坐骨孔。在坐骨疝修补手术中，偶然发现阑尾变形，遂行单纯阑尾切除术。切除阑尾的组织学检查显示，在管状绒毛状腺瘤中，腺癌分化良好，局限于黏膜层。随访13个月，患者情况良好，无复发或转移迹象。
