Kato Yukihiro, Okazaki Yuki, Fukui Yasuhiro, Kushitani Yukako, Kametani Naoki, Yoshii Mami, Ako Eiji, Yamamoto Astushi, Yamada Nobuya, Nishimura Sigehiko, Taenaka Naoyuki, Mastunaga Yuki, Fujita Shigeki
Dept. of Surgery, Sumitomo Hospital.
Gan To Kagaku Ryoho. 2018 Dec;45(13):1848-1850.
A 40-year-old woman was admitted to our hospital with the chief complaint of miction pain. MRI showed fundal wall thickening of the bladder in contact with the appendix. Under cystoscopy, redness of the mucous membrane was found in the posterior wall of the bladder. Therefore, laparo-appendectomy with partial cystectomy was performed. Microscopically, adenocarcinoma cells were observed in the lumen of the appendix, invading the wall of the urinary bladder at the fundus of the appendix. We performed laparo-ileocecal resection for a regional lymphadenectomy. Thus, the patient was diagnosed with adenocarcinoma of the appendix[V, type 3, 16×7 mm, tub2, pT4b(SI, urinary bladder), int, INF b, ly0, v0, pN0, cM0, pStage Ⅱ]. The patient has been receiving adjuvant chemotherapy using capecitabine for 6 months. There was no evidence of recurrence after 9 months of follow-up.
一名40岁女性因排尿疼痛为主诉入院。磁共振成像（MRI）显示膀胱底壁增厚并与阑尾接触。膀胱镜检查时，发现膀胱后壁黏膜发红。因此，实施了阑尾切除术及部分膀胱切除术。显微镜下，在阑尾腔内观察到腺癌细胞，侵犯阑尾底部的膀胱壁。我们进行了腹腔镜回盲部切除术以清扫区域淋巴结。因此，该患者被诊断为阑尾腺癌[V型，3型，16×7毫米，tub2，pT4b（SI，膀胱），int，INF b，ly0，v0，pN0，cM0，p分期Ⅱ期]。该患者已接受卡培他滨辅助化疗6个月。随访9个月后无复发迹象。
