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Goblet Cell Carcinoid Developed from the Ostium Appendix Vermiformis, Report of a Case Yoko Wada 1 , Hiroaki Matake 1 , Toshiyuki Matsui 1 , Tsuneyoshi Yao 1 1Department of Gastroenterology, Fukuoka University Chikushi Hospital Keyword: 杯細胞力ルチノイド , 虫垂原発 , びまん浸潤 pp.1527-1533
Published Date 1996/11/25
DOI https://doi.org/10.11477/mf.1403104458
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 A 65-year-old man was admitted to our hospital with abdominal pain as his chief complaint. He had been appendectomized 30 years previously. Abdominal X-ray film showed extensive niveau formation. Retrograde selective colonography using a long rectal tube showed subtle but definite decreased extensibility of the cecum, and a small, irregular-shaped ulcer. Barium did not flow back into the ileum. Under colonoscopic examination, Bauhin's valve seemed hard and swollen and small erosions were observed around the appendiceal orifice. Histological examination of a biopsy taken from the erosions revealed atypical cells suggesting well differentiated adenocarcinoma. Because of these findings, we performed the ileocecal resection after a diagnosis of cancer of the ileocecal region. From histological examination of the resected specimen, the tumor was diagnosed as a goblet cell carcinoid which had developed from the mucosa of the appendiceal orifice and infiltrated into the cecal area mainly through the mascularis mucosa and partly through the serosa.


Copyright © 1996, Igaku-Shoin Ltd. All rights reserved.

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電子版ISSN 1882-1219 印刷版ISSN 0536-2180 医学書院

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