title: [A Case of Curatively Resected Goblet Cell Carcinoid of the Appendix Diagnosed via Intraoperative Frozen Sectional Examination].
abstract: A 52-year-old patient presented with epigastric pain.An enhanced CT scan showed a strongly enhanced appendix with abscess formation.Appendectomy was performed under the diagnosis of acute appendicitis with perityphlitic abscess.The stump of the appendix was white and hard, suggesting malignant transformation.Intraoperative frozen sectional examination indicated goblet cell carcinoid(GCC)of the appendix.Thereafter, we performed ileocecal resection with lymphadenectomy (D3).The final pathological diagnosis was GCC, pSS, pN1, Stage III a by the Japanese classification of colorectal carcinoma. Immunohistochemical examination was consistent with GCC including synaptophysin(+), chromogranin A(+), somatostatin receptor(SSTR)2(±), SSTR5(+), and cytokeratin 20(+).The patient received adjuvant chemotherapy and remains cancer-free over 5 years after the operation.
authors.affiliation: Dept. of Gastrointestinal Surgery, Sendai Kousei Hospital.
authors.forename: Tomoya
authors.initials: T
authors.lastname: Ikeda
authors.forename: Junichiro
authors.initials: J
authors.lastname: Yamauchi
authors.forename: Kento
authors.initials: K
authors.lastname: Miyazaki
authors.forename: Sho
authors.initials: S
authors.lastname: Yasuta
authors.forename: Shota
authors.initials: S
authors.lastname: Fujita
authors.forename: Mamoru
authors.initials: M
authors.lastname: Satoh
authors.forename: Keiichi
authors.initials: K
authors.lastname: Shirasaki
authors.forename: Shin
authors.initials: S
authors.lastname: Kobayashi
authors.forename: Takashi
authors.initials: T
authors.lastname: Ajiki
authors.forename: Katsuo
authors.initials: K
authors.lastname: Tsuchihara
authors.forename: Noriko
authors.initials: N
authors.lastname: Kondo
authors.forename: Shuichi
authors.initials: S
authors.lastname: Ishiyama
mesh_terms: D015746:Abdominal Pain / Q000209:etiology; D001062:Appendectomy; D001063:Appendiceal Neoplasms / Q000150:complications / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D001064:Appendicitis / Q000209:etiology; D002276:Carcinoid Tumor / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery*; D003082:Colectomy; D006801:Humans; D007430:Intraoperative Care; D008297:Male; D008875:Middle Aged; D014057:Tomography, X-Ray Computed