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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.

DOI:10.15605/jafes.035.01.16
PMID:33442175
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7784227/
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/c004c7e467ab/JAFES-35-1-102-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3ef6/7784227/9ae3f9cc6802/JAFES-35-1-102-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3ef6/7784227/8bd384fdcd97/JAFES-35-1-102-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3ef6/7784227/c004c7e467ab/JAFES-35-1-102-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3ef6/7784227/9ae3f9cc6802/JAFES-35-1-102-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3ef6/7784227/8bd384fdcd97/JAFES-35-1-102-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3ef6/7784227/c004c7e467ab/JAFES-35-1-102-g003.jpg

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本文引用的文献

1
Goblet cell carcinoid of the appendix - diagnostic challenges and treatment updates: a case report and review of the literature.阑尾杯状细胞类癌——诊断挑战与治疗进展：一例病例报告及文献综述
J Med Case Rep. 2018 Sep 24;12(1):275. doi: 10.1186/s13256-018-1789-6.
2
Goblet cell carcinomas of the appendix: rare but aggressive neoplasms with challenging management.阑尾杯状细胞癌：罕见但侵袭性强的肿瘤，治疗颇具挑战性。
Endocr Connect. 2018 Feb;7(2):268-277. doi: 10.1530/EC-17-0311. Epub 2018 Jan 15.
3
Appendiceal Neuroendocrine, Goblet and Signet-Ring Cell Tumors: A Spectrum of Diseases with Different Patterns of Presentation and Outcome.
阑尾神经内分泌、杯状细胞和印戒细胞肿瘤：一组具有不同临床表现和预后模式的疾病谱。
Cancer Res Treat. 2016 Apr;48(2):596-604. doi: 10.4143/crt.2015.029. Epub 2015 Jun 5.
4
Goblet cell carcinoid tumor, mixed goblet cell carcinoid-adenocarcinoma, and adenocarcinoma of the appendix: comparison of clinicopathologic features and prognosis.杯状细胞类癌肿瘤、混合性杯状细胞类癌-腺癌及阑尾腺癌：临床病理特征与预后比较
Arch Pathol Lab Med. 2015 Jun;139(6):782-90. doi: 10.5858/arpa.2013-0047-OA.
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Goblet cell appendiceal tumors--management dilemmas and long-term outcomes.杯状细胞阑尾肿瘤——治疗困境与长期预后
Surg Oncol. 2015 Mar;24(1):47-53. doi: 10.1016/j.suronc.2015.01.001. Epub 2015 Jan 28.
6
ENETS Consensus Guidelines for the management of patients with neuroendocrine neoplasms from the jejuno-ileum and the appendix including goblet cell carcinomas.ENETS空肠、回肠和阑尾神经内分泌肿瘤（包括杯状细胞癌）患者管理共识指南
Neuroendocrinology. 2012;95(2):135-56. doi: 10.1159/000335629. Epub 2012 Feb 15.
7
The NANETS consensus guideline for the diagnosis and management of neuroendocrine tumors: well-differentiated neuroendocrine tumors of the Jejunum, Ileum, Appendix, and Cecum.NANETS 共识指南：用于诊断和治疗神经内分泌肿瘤——空肠、回肠、阑尾和盲肠的神经内分泌肿瘤。
Pancreas. 2010 Aug;39(6):753-66. doi: 10.1097/MPA.0b013e3181ebb2a5.
8
Pathologic classification and clinical behavior of the spectrum of goblet cell carcinoid tumors of the appendix.阑尾杯状细胞类癌肿瘤谱系的病理分类及临床行为
Am J Surg Pathol. 2008 Oct;32(10):1429-43. doi: 10.1097/PAS.0b013e31817f1816.