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一例阑尾杯状细胞类癌肿瘤:在显微镜下准确诊断

A Case of Appendiceal Goblet Cell Carcinoid Tumor: Getting it right under the Microscope.

作者信息

Kang Waye Hann, Wahab Norasyikin Abdul, Kamaruddin Nor Azmi

机构信息

Faculty of Medicine and Health Sciences, University Tunku Abdul Rahman, Malaysia.

Department of Medicine, Pusat Perubatan Universiti Kebangsaan Malaysia.

出版信息

J ASEAN Fed Endocr Soc. 2020;35(1):102-104. doi: 10.15605/jafes.035.01.16. Epub 2020 Apr 19.

Abstract

Goblet cell carcinoid (GCC) is a rare neoplasm of the vermiform appendix and can be mistaken as a typical neuroendocrine tumour (TNET). The natural history of this disease is more aggressive compared to TNETs and requires a more aggressive approach. We report a case of a 37-year-old male who was initially diagnosed with TNET, but subsequently revised as Tang's A GCC. He underwent appendectomy and right hemicolectomy. Aside from a persistently elevated carcinoembyrogenic antigen (CEA) result, his F-fluorodeoxyglucose (FDG) PET/CT and a 68-Gallium DOTATATE PET/CT scan showed no FDG or DOTATATE avid lesions.

摘要

杯状细胞类癌(GCC)是一种罕见的阑尾肿瘤,可能被误诊为典型神经内分泌肿瘤(TNET)。与TNET相比,这种疾病的自然病程更具侵袭性,需要更积极的治疗方法。我们报告一例37岁男性病例,最初被诊断为TNET,但随后被修订为唐氏A型GCC。他接受了阑尾切除术和右半结肠切除术。除癌胚抗原(CEA)结果持续升高外,他的F-氟脱氧葡萄糖(FDG)PET/CT和68-镓 DOTATATE PET/CT扫描均未显示FDG或DOTATATE摄取增加的病变。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3ef6/7784227/9ae3f9cc6802/JAFES-35-1-102-g001.jpg

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