[A case of appendceal cancer with abdominal, intraabdominal, and retroperitoneal abscesses].
A 65-year-old woman was admitted to our hospital owing to difficulty walking and an abdominal tumor in the right lower abdomen. An irregular mass with calcification was detected in her cecum, and abdominal, intraabdominal, and retroperitoneal abscess was detected by computed tomography(CT). An irregular mass was diagnosed as Group 5 adenocarcinoma by biopsy. After the inflammation improved by abscess drainage, we conducted ileocecal resection and fenestrated the abscess. Pathological analysis showed well-differentiated tubular adenocarcinoma: dimensions 20 × 20 mm, pSS, stroma: med, INF a, ly1, v0, pPM0 (70 mm), pDM0 (70 mm), pRM0 (8mm), LN(-): #201: (0/9), fStageII. Thepatie nts can now walk, and she remains in good health and has been recurrence-free 8 months after surgery. To our knowledge, colon cancer with an abdominal abscess is comparatively rare, and we discuss this in light of the literature.
Dept. of Surgery, Yawatahama City General Hospital.
Yasuhiro
Y
Fujiwara
Masao
M
Nakajima
Shinobu
S
Tomochika
Katsuhiro
K
Matoba
D034841:Abdominal Cavity / Q000473:pathology*; D000038:Abscess / Q000209:etiology* / Q000628:therapy; D000368:Aged; D000971:Antineoplastic Combined Chemotherapy Protocols; D001063:Appendiceal Neoplasms / Q000150:complications* / Q000188:drug therapy / Q000473:pathology / Q000601:surgery; D004322:Drainage; D005260:Female; D006801:Humans; D010532:Peritoneal Diseases / Q000209:etiology* / Q000628:therapy; D014057:Tomography, X-Ray Computed