[A case of mucinous cystadenocarcinoma of the appendix with abdominal wall abscess successfully treated by percutaneous drainage and systemic chemotherapy-a case report].
A 76-year-old woman was diagnosed of mucinous cystadenocarcinoma of the appendix. Since there was wide direct invasion into the right psoas muscle, she was judged as inoperable although she had no bowel obstruction. She was received FOLFIRI and bevacizumab treatment. After the first cycle, the tumor progressed rapidly and formed the abdominal wall abscess at the right groin. Since she had a fever and pain at the right groin and the abscess reached the hypodermic, we put a drainage tube into the abscess. The tube was placed, which made her symptoms improved markedly. We have been continuing with FOLFIRI treatment and drainage for 10 months without progressive disease. We report a rare case of the conservative therapy of mucinous cystadenocarcinoma of appendix with abdominal wall abscess.
Dept. of Medical Oncology, Tohoku Rosai Hospital.
Keita
K
Tagami
Shigeru
S
Tanda
Ryohei
R
Nomura
Akihiro
A
Saito
Hiroyuki
H
Takahashi
Hiromi
H
Tokumura
Hiroki
H
Maekawa
Fujio
F
Matsumoto
D018784:Abdominal Abscess / Q000209:etiology / Q000628:therapy*; D000368:Aged; D000971:Antineoplastic Combined Chemotherapy Protocols / Q000627:therapeutic use*; D001063:Appendiceal Neoplasms / Q000150:complications / Q000188:drug therapy* / Q000473:pathology; D001706:Biopsy; D002166:Camptothecin / Q000031:analogs & derivatives / Q000627:therapeutic use; D018282:Cystadenocarcinoma, Mucinous / Q000150:complications / Q000188:drug therapy* / Q000473:pathology; D004322:Drainage; D005260:Female; D005472:Fluorouracil / Q000627:therapeutic use; D006801:Humans; D002955:Leucovorin / Q000627:therapeutic use; D014057:Tomography, X-Ray Computed
D002955:Leucovorin; D005472:Fluorouracil; D002166:Camptothecin