Yagi Yutaka, Kobayashi Takashi, Watanabe Takaoki, Arabiki Michiru
Dept. of Surgery, Niigata Rinko Hospital.
Gan To Kagaku Ryoho. 2024 Jul;51(7):767-769.
A 64-year-old man complained of lower abdominal pain and vomiting. The CT scan showed adhesional ileus; therefore, small bowel resection procedure was performed. Histological findings showed signet-ring cell carcinoma and poorly differentiated adenocarcinoma. We performed ileocecal resection as an additional surgery. The operative findings revealed peritoneal nodules. The histological findings suggested goblet cell carcinoid with peritoneal dissemination. mFOLFOX+bevacizumab was administered, and no progression was observed for 30 months after the surgery. Appendiceal goblet cell carcinoid is rare and its prognosis is poor. Here, we report a case of appendiceal GCC that achieved a relatively long-term survival despite peritoneal dissemination.
一名64岁男性主诉下腹部疼痛和呕吐。CT扫描显示粘连性肠梗阻;因此,进行了小肠切除术。组织学检查结果显示印戒细胞癌和低分化腺癌。我们又进行了回盲部切除术。手术所见发现腹膜结节。组织学检查结果提示杯状细胞类癌伴腹膜播散。给予mFOLFOX联合贝伐单抗治疗,术后30个月未观察到病情进展。阑尾杯状细胞类癌罕见,预后较差。在此,我们报告一例阑尾杯状细胞类癌病例,尽管存在腹膜播散,但仍获得了相对长期的生存。