Kalogiannidis Ioannis, Mavrona Amalia, Grammenou Sophia, Zacharioudakis Georgios, Aggelidou Stamatia, Rousso David
3rd Department of Obstetrics and Gynecology, Aristotle University of Thessaloniki, Konstantinoupoleos 49, 54624 Thessaloniki, Greece.
Case Rep Obstet Gynecol. 2013;2013:892378. doi: 10.1155/2013/892378. Epub 2013 May 16.
Appendiceal mucocele is a rare clinical entity, which is however quite often associated with mucinous ovarian tumor. The coexistence of mucinous cystadenoma of the appendix and endometrial adenocarcinoma has not been reported before. A 49-year-old woman presented to our clinic with postmenopausal bleeding and no other symptom. Endometrial biopsy revealed endometrial adenocarcinoma of endometrioid type (grade I). Preoperative CT scanning revealed an appendiceal mucocele, and a colonoscopy confirmed the diagnosis. The patient underwent total abdominal hysterectomy with bilateral salpingo-oophorectomy and appendectomy. The final histopathological examination showed a mucinous cystadenoma of the appendix and confirmed the diagnosis of endometrioid endometrial adenocarcinoma. The coexistence of appendiceal mucocele and female genital tract pathology is rare. However, gynecologists should keep a high level of suspicion for such possible coexistence. Both the diagnostic approach and the therapeutic management should be multidisciplinary, most importantly with the involvement of general surgeons.
阑尾黏液囊肿是一种罕见的临床病症，然而它却常常与黏液性卵巢肿瘤相关。此前尚未有阑尾黏液性囊腺瘤与子宫内膜腺癌并存的报道。一名49岁女性因绝经后出血前来我院就诊，无其他症状。子宫内膜活检显示为子宫内膜样型子宫内膜腺癌（I级）。术前CT扫描显示有阑尾黏液囊肿，结肠镜检查确诊。患者接受了全腹子宫切除术、双侧输卵管卵巢切除术和阑尾切除术。最终的组织病理学检查显示为阑尾黏液性囊腺瘤，并确诊为子宫内膜样型子宫内膜腺癌。阑尾黏液囊肿与女性生殖道病变并存的情况较为罕见。然而，妇科医生应对这种可能的并存情况保持高度怀疑。诊断方法和治疗管理都应是多学科的，最重要的是要有普通外科医生的参与。
