Appendiceal Adenocarcinoma with Suppurative Appendicitis: Case Report and Literature Review

闌尾癌併發闌尾炎病例報告和文獻回顧

郭華基(Va-Kei Kok) ； 王得光(Teh-Kuang Wang) ； 沈希哲(Hsi-Che Shen) ； 黃品宏(Ping-Hung Huang) ； 陳曜卿(Yaw-Ching Chen)

《中華民國急救加護醫學會雜誌》 18卷4期 (2007/12) Pp. 155-160

https://doi.org/10.30018/JECCM.200712.0003

摘要

原發性闌尾癌在消化道急性腫瘤中發生率所佔比率不高，比較罕見，不易在早期甚至手術前診斷出來，大部分案例都在手術標本檢查時才確立診斷；目前尚未有特異性的臨床病理症狀或診斷工具，籍此在手術前將闌尾癌正確診斷出來。本文報告一例36歲男性主訴右下腹疼痛三天，因局部疼痛合併腹膜炎症狀，診斷為急性闌尾炎，接受常規的闌尾切除手術，最後病理報告為闌尾癌；回顧相關文獻報告，借此讓大家在治療急性闌尾炎的同時，必須考應闌尾癌的發生可能性。

關鍵字

闌尾 ； 腺癌 ； 類癌 ； 黏液狀囊腺癌 ； 闌尾炎

並列摘要

Primary adenocarcinoma of the appendix is rarely encountered and is usually discovered incidentally on pathological examination of surgical specimens. Appendiceal cancer has no distinct pathognomonic symptoms and there are no useful preoperative diagnostic tools available to detect it. We report a case of a 36-year-old man with appendiceal adenocarcinoma with suppurative appendicitis who presented with signs and symptoms of acute appendicitis. Appendectomy was performed through a McBurney's incision. When the pathology report confirmed appendiceal adenocarcinoma, however, further treatment and further surgery were refused. The aim of this report is to review the relevant literature and to increase awareness of appendiceal neoplasms.

並列關鍵字

appendix vermiformis ； adenocarcinoma ； carcinoid ； mucinous cystadenocarcinoma ； appendicitis