title: [A Case of Mucinous Adenocarcinoma of the Appendix with Peritoneal Dissemination Diagnosed by Laparoscopic Abdominal Exploration and Appendectomy].
abstract: We report a case of mucinous adenocarcinoma of the appendix with peritoneal dissemination diagnosed by laparoscopic abdominal exploration and appendectomy. A man in his 60's was diagnosed with peritoneal dissemination of mucinous adenocarcinoma incidentally during an operation for an inguinal hernia. Carcinoma of the appendix was suspected as the primary lesion after further examination. We performed laparoscopic abdominal exploration and appendectomy. The purpose of the operation was to detect the primary lesion, make a pathological diagnosis, and to evaluate the extent of peritoneal dissemination. Laparoscopic findings revealed wide spread peritoneal dissemination and the pathological findings confirmed mucinous adenocarcinoma of the appendix. These laparoscopic procedures lead to a precise diagnosis and allowed for adequate treatment selection.
authors.affiliation: Division of Digestive Surgery, Chiba Cancer Center.
authors.forename: Toru
authors.initials: T
authors.lastname: Tonooka
authors.forename: Nobuhiro
authors.initials: N
authors.lastname: Takiguchi
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Yamamoto
authors.forename: Yoshihiro
authors.initials: Y
authors.lastname: Nabeya
authors.forename: Atsushi
authors.initials: A
authors.lastname: Ikeda
authors.forename: Osamu
authors.initials: O
authors.lastname: Kainuma
authors.forename: Hiroaki
authors.initials: H
authors.lastname: Soda
authors.forename: Shunsuke
authors.initials: S
authors.lastname: Imanishi
authors.forename: Hidehito
authors.initials: H
authors.lastname: Arimitsu
authors.forename: Ryosuke
authors.initials: R
authors.lastname: Kobayashi
authors.forename: Tomofumi
authors.initials: T
authors.lastname: Chibana
authors.forename: Fumitaka
authors.initials: F
authors.lastname: Ishige
authors.forename: Matsuo
authors.initials: M
authors.lastname: Nagata
mesh_terms: D002288:Adenocarcinoma, Mucinous / Q000150:complications / Q000188:drug therapy / Q000556:secondary / Q000601:surgery*; D000971:Antineoplastic Combined Chemotherapy Protocols / Q000627:therapeutic use; D001062:Appendectomy; D001063:Appendiceal Neoplasms / Q000150:complications / Q000188:drug therapy / Q000473:pathology / Q000601:surgery*; D000069287:Capecitabine; D003841:Deoxycytidine / Q000031:analogs & derivatives / Q000627:therapeutic use; D005472:Fluorouracil / Q000031:analogs & derivatives / Q000627:therapeutic use; D006552:Hernia, Inguinal / Q000150:complications* / Q000601:surgery; D006801:Humans; D007416:Intestinal Perforation / Q000209:etiology / Q000601:surgery*; D010535:Laparoscopy; D008297:Male; D010071:Oxaloacetates; D010534:Peritoneal Neoplasms / Q000556:secondary / Q000601:surgery*
chemical_list: D010071:Oxaloacetates; D003841:Deoxycytidine; D000069287:Capecitabine; D005472:Fluorouracil