title: Laparoscopic two-stage surgery for goblet cell carcinoid of the appendix: report of a case and review of the Japanese literature.
abstract: Goblet cell carcinoid of the appendix is a rare clinical entity exhibiting features of both carcinoid and adenocarcinoma. Here, we present the first report of laparoscopic 2-stage surgery for goblet cell carcinoid with a review of the Japanese literature. A 49-year-old man underwent laparoscopic appendectomy under the diagnosis of acute appendicitis. A pathologic diagnosis of goblet cell carcinoid, accompanied by the aggressive proliferation, with acute appendicitis was made. Subsequent laparoscopic ileocecal resection was performed, and it was verified that there were neither residual tumor nor lymph node metastases. The postoperative course was uneventful. Because goblet cell carcinoid may be difficult to clinically distinguish from acute appendicitis, pathologic examination is essential. Depending upon the grade of tumor proliferation, additional resection should be considered, and our experience with this case suggests that laparoscopic 2-stage surgery is feasible for the adequate treatment of goblet cell carcinoid without complications.
authors.affiliation: Department of Surgery, Obihiro Kosei Hospital, W6, S8, Obihiro 080-0016, Japan. onsuzuki@med.hokudai.ac.jp
authors.forename: On
authors.initials: O
authors.lastname: Suzuki
authors.forename: Koichi
authors.initials: K
authors.lastname: Ono
authors.forename: Yoshiaki
authors.initials: Y
authors.lastname: Sekishita
authors.forename: Masaru
authors.initials: M
authors.lastname: Fujimori
authors.forename: Tuneo
authors.initials: T
authors.lastname: Shiono
authors.forename: Satoshi
authors.initials: S
authors.lastname: Kondo
mesh_terms: D000714:Anastomosis, Surgical / Q000379:methods; D001062:Appendectomy / Q000379:methods*; D001063:Appendiceal Neoplasms / Q000473:pathology / Q000601:surgery*; D002276:Carcinoid Tumor / Q000473:pathology / Q000601:surgery*; D003082:Colectomy / Q000379:methods*; D003937:Diagnosis, Differential; D005500:Follow-Up Studies; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D008297:Male; D008875:Middle Aged