Abstract
A case of cystadenocarcinoma of the appendix with a large cystic lesion is reported. A 49-year-old man undergoing a routine ultrasonic scan was incidentally found to have an abdominal mass measuring some 30 cm in size. The clinical presentation was asymptomatic, and the patient underwent a laparotomy without ascertaining a diagnosis preoperatively. The lesion, which derived from the appendix, was removed and was found to be cystic and contained huge amounts of mucin. The histological findings revealed a well-differentiated cystadenocarcinoma of the appendix, and immunohistochemical staining of the epithelium and mucinous implants in the mass demonstrated a positive reaction for carcinogenic antigens, including carcinoembryonic antigen and carbohydrate antigen.
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References
Chang P, Attiyeh FF (1981) Adenocarcinoma of the appendix. Dis Colon Rectum 24:176–180
Qizilbash AH (1975) Primary adenocarcinoma of the appendix: a clinicopathological study of 11 cases. Arch Pathol 99:556–562
Gilhome RW, Johnstone DH, Clark J, Kyle J (1984) Primary adenocarcinoma of the vermiform appendix: report of a series of ten cases and review of the literature. Br J Surg 71:553–555
Ferro M, Anthony PP (1985) Adenocarcinoma of the appendix. Dis Colon Rectum 28:457–459
Raiford TS (1962) Treatment of tumors of the appendix. In: Pack GT, Ariel IM (eds) Treatment of cancer and allied diseases, 2nd edn. Hoeber, New York, pp 296–305
Andersson A, Bergdahl L, Boquist L (1976) Primary carcinoma of the appendix. Ann Surg 183:53–57
Kawakami K, Baba S, Hagiwara H, Nakamura S, Kinou I (1990) A case of villous adenocarcinoma of the appendix (in Japanese with English abstract). Stomach and Intestine (I to Cho) 10:1227–1230
Nishitani K, Nishitani H, Shimoda Y (1987) Cutaneous invasion of mucinous adenocarcinoma of the appendix. J Dermatol 14:167–169
Dalton DP, Dalkin BL, Sener SF, Pappas PS, Blum MD (1987) Enterovesical fistula secondary to mucinous adenocarcinoma of appendix. J Urol 138:617–618
Sugerbaker PH, Kern K, Lack E (1987) Malignant pseudomyxoma peritonei of colonic origin: natural history and presentation of a curative approach to treatment. Dis Colon Rectum 30:772–779
Mann WJ Jr, Wagner J, Chumas J, Chalas E (1990) The management of pseudomyxoma peritonei. Cancer 66:1636–1640
Smith JW, Kemeny N, Caldwell C, Banner P, Sigurdson E, Huvos A (1992) Pseudomyxoma peritonei of appendiceal origin: The Memorial Sloan-Kettering Cancer Center Experience. Cancer 70:396–401
van Nagell Jr, Pletsch QA, Goldenberg DM (1975) A study of cyst fluid and plasma CEA in patients with cystic ovarian neoplasms. Cancer Res 35:1433–1437
Marchand A, Fenoglio CM, Pascal R, Richart RM, Bennett S (1975) Carcinoembryonic antigen in human ovarian neoplasms. Cancer Res 35:3807–3810
Green N, Gancedo H, Smith R, Bernett G (1975) Pseudomyxoma peritonei — nonoperative management and biochemical findings. Cancer 36:1834–1837
Rutledge RH, Alexander JW (1992) Primary appendiceal malignancies: Rare but important. Surgery 111:244–250
Okura H (1989) Tumor marker diagnosis (in Japanese). Igaku no Ayumi 6:453–456
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Suto, A., Tsuyuki, A., Hiraoka, N. et al. Asymptomatic primary mucinous cystadenocarcinoma of the appendix with a large abdominal mass: Report of a case. Surg Today 24, 915–917 (1994). https://doi.org/10.1007/BF01651009
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DOI: https://doi.org/10.1007/BF01651009