Two Cases of Goblet Cell Carcinoid of the Vermiform Appendix

Naoki Futamura, Takanori Goi, Kazuo Makimoto, Koji Miyamoto, Yukio Shimizu, Eiichi Matsunami, Tsuneko Ikeda*

Department of Surgery, Department of Pathology*, Matsunami General Hospital

Two cases of goblet cell carcinoid of the appendix were reported with a review of the Japanese literature. Both patients were male, one 46 and the other 41 years old. They had symptoms consistent with acute appendicitis and underwent appendectomy. Pathological examination revealed goblet cell carcinoid in addition to acute inflammation of the appendix. Both patients subsequently underwent right hemicolectomy. No neoplastic cells were detected histologically in either specimen. One was well 2 years and 2 months, the other was well 2 years after the operation. Thirty-one cases including these two were collected from the Japanese literature. Most of them had surgery after a diagnosis of acute appendicitis, though an ileocecal tumor was suspected in a few advanced cases. Appendectomy alone with postoperative follow up, ileocecal resection or right hemicolectomy were choise of the treatments in them. Metastasis or recurrence was observed in a few cases, suggesting of necessity of aggressive surgical treatment.

Key words
carcinoid of the vermiform appendix, goblet cell carcinoid

Reprint requests
Naoki Futamura First Department of Surgery, Gifu University School of Medicine
40 Tsukasa-machi, Gifu, 500 JAPAN

Accepted
November 9, 1994

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