Laparoscopic Appendectomy for Goblet Cell Carcinoid of the Appendix with Early Gastric Cancer

Keisuke Morita, Koichi Arase, Eiji Tanaka, Masayoshi Iizaka, Shinichiro Uemura, Katsuhiko Inoue and Michio Ogawa

Department of Surgery, Kumamoto Rosai Hospital

We report a case of rare goblet cell carcinoid, a rare tumor, which is known to be almost as malignant as adenocarcinoma, although therapeutic guidelines have yet to be established. A 77-year-old woman, admitted for early gastric cancer of the lesser curvature of the middle gastric body was found in preoperative abdominal computed tomography (CT) to have a tumor 5 cm in diameter in the right side of the pelvis, necessitating laparoscopy-assisted distal gastrectomy for early gastric cancer. Laparoscopy showed the pelvic tumor to be appendiceal, necessitating laparoscopic appendectomy. The pathological diagnosis was early gastric cancer, T1 (SM), N0, M0, StageIA, and appendiceal goblet cell carcinoid, mp, ly0, v0. Laparoscopic appendectomy for goblet cell carcinoid, although rarely done, may be used to treat this disease provided that follow-up is careful.

Key words
goblet cell carcinoid of the appendix, laparoscopic appendectomy, early gastric cancer

Reprint requests
Keisuke Morita Department of Surgery, Kumamoto Rosai Hospital
1670 Takehara-machi, Yatsushiro, 866-8533 JAPAN

Accepted
September 16, 2009

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