Chandradevan Raguraj, Rutkofsky Ian H, Campana Mary Charmaine E, Kaur Harkirat, Kitchen Felisha L, Odum Craig C, Devereaux Randolph S, Colquitt James D, Hamler Sarah E, Williams Iv John T
HCA-Coliseum Medical Centers, Macon, GA, USA.
School of Medicine-Mercer University, Macon, GA, USA.
J Surg Case Rep. 2019 Mar 14;2019(3):rjz059. doi: 10.1093/jscr/rjz059. eCollection 2019 Mar.
Primary appendicular adenocarcinoma is a rare tumor, mucinous variety, being most common. The case presentation highlights the unusual appearance and diagnostic dilemma of an appendicular adenocarcinoma. Our elderly patient presented with an ill-defined tender lump which later was diagnosed as a perforated appendicular adenocarcinoma, responsive to single-staged surgery and adjunct chemotherapy. We considered the single-staged surgery since the appendix was perforated and right colectomy would not aid the prognosis. High index of clinical suspicion for malignancy should be kept in mind for elderly patients presenting with an appendicular lump. Every effort should be made during the elective surgery to remove the mass during the single-staged surgery.
原发性阑尾腺癌是一种罕见的肿瘤，其中黏液性类型最为常见。该病例展示突出了阑尾腺癌不寻常的外观及诊断难题。我们的老年患者表现为一个边界不清的压痛性肿块，后来被诊断为穿孔性阑尾腺癌，对一期手术及辅助化疗有反应。由于阑尾已穿孔，行右半结肠切除术对预后并无帮助，所以我们考虑进行一期手术。对于出现阑尾肿块的老年患者，应高度怀疑恶性肿瘤。在择期手术期间，应尽一切努力在一期手术中切除肿块。
