Case Report of a Poorly Differentiated Adenocarcinoma of the Appendix

Kazuhisa Shirai, Shinji Fukata, Tadashi Ito, Ryuzo Yamaguchi, Hiroo Mukaiyama and Michihiko Narita*

Department of Surgery and Pathology*, Kamo Hospital

A 63-year-old woman was refered to our clinic for the evaluation of a right hypogastric pain. Ultrasonography and computed tomography examinations revealed a cystic mass in the appendix. A right hemicolectomy with D3 lymph node dissection was performed. Histological examination revealed a poorly differentiated adenocarcinoma of the appendix. Eighteen months later, an oophorectomy was performed because of a metastasis to the right ovary. The patient has shown no further signs of recurrence or metastasis for 2 years and 9 months since the first operation.

Key words
appendiceal cancer, poorly differentiated adenocarcinoma

Reprint requests
Kazuhisa Shirai Division of Surgical Oncology, Department of Surgery, Nagoya University, Graduate School of Medicine
65 Tsurumai-cho, Showa-ku, Nagoya 466-8550 JAPAN

Accepted
July 23, 2003

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