A goblet cell carcinoma of the appendix presenting as an acute appendicitis: a case report

被引:0
作者
Coevoet, D. [1 ]
Maenhoudt, W. [2 ]
Beaurang, J. [2 ]
Bontinck, J. [2 ]
Lockefeer, F. [3 ]
Vandenabeele, L. [4 ]
Rondou, T. [4 ]
Bontinck, H. [2 ,5 ]
机构
[1] Ghent Univ Hosp, Dept Med, Zonnestr 79, B-9160 Ghent, Belgium
[2] AZ Sint Jozef Hosp, Dept Gen Surg, Bornem, Belgium
[3] AZ Sint Jozef Hosp, Dept Pathol, Bornem, Belgium
[4] AZ Sint Jozef Hosp, Dept Gastroenterol, Bornem, Belgium
[5] Univ Hosp Ghent, Surg Unit, Ghent, Belgium
关键词
Appendix vermiformis; goblet cell carcinoma; appendix tumours; NEUROENDOCRINE NEOPLASMS; MANAGEMENT; TUMORS; ILEUM;
D O I
10.1080/00015458.2018.1500801
中图分类号
R61 [外科手术学];
学科分类号
摘要
Background: A goblet cell carcinoma of the appendix is a rare neoplasm with histological features of both adenocarcinomas and carcinoid tumours. It has a more aggressive behaviour in comparison to the more common classic neuroendocrine appendiceal tumours. Clinical presentation is variable and a significant proportion of patients present with an acute appendicitis. The aggressive evolution of these tumours makes the management more challenging. Case report: We report the case of a 43-year-old man with acute right iliac fossa pain who was initially diagnosed with an acute appendicitis. Histological analysis of the resected appendix demonstrated the presence of a goblet cell carcinoma with perineural and lymphovascular invasion. No distant metastasis was present. A right hemicolectomy was performed and adjuvant chemotherapy was administered. Conclusion: Goblet cell carcinomas is a distinct entity which should be delineated from the classical appendiceal carcinoids. Its clinical evolution obliges a more aggressive therapeutic strategy.
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收藏
页码:124 / 128
页数:5
相关论文
共 15 条
[1]   The Eighth Edition AJCC Cancer Staging Manual: Continuing to build a bridge from a population-based to a more "personalized" approach to cancer staging [J].
Amin, Mahul B. ;
Greene, Frederick L. ;
Edge, Stephen B. ;
Compton, Carolyn C. ;
Gershenwald, Jeffrey E. ;
Brookland, Robert K. ;
Meyer, Laura ;
Gress, Donna M. ;
Byrd, David R. ;
Winchester, David P. .
CA-A CANCER JOURNAL FOR CLINICIANS, 2017, 67 (02) :93-99
[2]   The NANETS Consensus Guideline for the Diagnosis and Management of Neuroendocrine Tumors Well-Differentiated Neuroendocrine Tumors of the Jejunum, Ileum, Appendix, and Cecum [J].
Boudreaux, J. Philip ;
Klimstra, David S. ;
Hassan, Manal M. ;
Woltering, Eugene A. ;
Jensen, Robert T. ;
Goldsmith, Stanley J. ;
Nutting, Charles ;
Bushnell, David L. ;
Caplin, Martyn E. ;
Yao, James C. .
PANCREAS, 2010, 39 (06) :753-766
[3]   Goblet cell carcinomas of the appendix: rare but aggressive neoplasms with challenging management [J].
Clift, Ashley K. ;
Kornasiewicz, Oskar ;
Drymousis, Panagiotis ;
Faiz, Omar ;
Wasan, Harpreet S. ;
Kinross, James M. ;
Cecil, Thomas ;
Frilling, Andrea .
ENDOCRINE CONNECTIONS, 2018, 7 (02) :268-277
[4]  
GAGNE F, 1969, Annales d'Anatomie Pathologique, V14, P393
[5]   Goblet Cell Carcinoids of the Appendix [J].
Holt, Nanna ;
Gronbaek, Henning .
SCIENTIFIC WORLD JOURNAL, 2013,
[6]   Appendiceal Goblet Cell Carcinoids: Management Considerations from a Reference Peritoneal Tumour Service Centre and ENETS Centre of Excellence [J].
Lamarca, Angela ;
Nonaka, Daisuke ;
Escola, Cristina Lopez ;
Hubner, Richard A. ;
O'Dwyer, Sarah ;
Chakrabarty, Bipasha ;
Fulford, Paul ;
Valle, Juan W. .
NEUROENDOCRINOLOGY, 2016, 103 (05) :500-517
[7]   Neuroendocrine Neoplasms of the Appendix: A Review of the Literature [J].
Moris, Dimitrios ;
Tsilimigras, Diamantis I. ;
Vagios, Stylianos ;
Ntanasis-Stathopoulos, Ioannis ;
Karachaliou, Georgia-Sofia ;
Papalampros, Alexandros ;
Alexandrou, Andreas ;
Blazer, Dan G., III ;
Felekouras, Evangelos .
ANTICANCER RESEARCH, 2018, 38 (02) :601-611
[8]   Goblet cell carcinoid of the appendix [J].
Pahlavan P.S. ;
Kanthan R. .
World Journal of Surgical Oncology, 3 (1)
[9]   ENETS Consensus Guidelines for the Management of Patients with Neuroendocrine Neoplasms from the Jejuno-Ileum and the Appendix Including Goblet Cell Carcinomas [J].
Pape, Ulrich-Frank ;
Perren, Aurel ;
Niederle, Bruno ;
Gross, David ;
Gress, Thomas ;
Costa, Frederico ;
Arnold, Rudolf ;
Denecke, Timm ;
Ploeckinger, Ursula ;
Salazar, Ramon ;
Grossman, Ashley .
NEUROENDOCRINOLOGY, 2012, 95 (02) :135-156
[10]   Goblet cell carcinoid tumors of the appendix: An overview [J].
Roy, Paromita ;
Chetty, Runjan .
WORLD JOURNAL OF GASTROINTESTINAL ONCOLOGY, 2010, 2 (06) :251-258