| Accession number;04A0030471 |
| Title;A Case of Primary Appendical Signet Ring Cell Carcinoma |
| Author;KOSHIISHI NAOKI(Takeda General Hospital) KIJIMA YASUOKI(Takeda General Hospital) |
Journal Title;Journal of the Japan Society of Colo-Proctology
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Journal Code:Z0124B
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ISSN:0047-1801
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VOL.57;NO.1;PAGE.23-27(2004)
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| Figure&Table&Reference;FIG.6, TBL.1, REF.16 |
| Pub. Country;Japan |
| Language;Japanese |
| Abstract;We experienced a rare case of primary appendical signet ring cell carcinoma. A 71-year-old man with appetite loss and anemia was admitted to our hospital. On physical examination, an elastic hard tumor was palpable in the right lower abdomen. Abdominal CT scan showed a 5cm-sized tumor located on the medial side of the cecum. Colonofiberscopy revealed a deformity of the cecum and an elevated edematous mucosal lesion around the orifice of the appendix. Histological examination of a biopseid specimen showed poorly differentiated adenocarcinoma of the appendix. At laparotomy, there was an appendical carcinoma with peritorinal dissemination in Stage IV. Histopathological findings showed signet ring cell carcinoma. He received postoperative chemotherapy, but the therapy could not be continued due to his physical condition. He was well without symptoms 12 months after operation. The prognosis of colonic signet ring cell carcinoma is very poor. This case had a singular course. (author abst.) |
