Bibliographic Information
- Other Title
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- ショウレイ ホウコク チュウスイ ゲンパツ フクゴウガタセン シンケイ ナイブンピガン ノ イチチケンレイ
- A Case of Primary Mixed adenoneuroendocrine carcinoma of the Appendix
- チュウスイ ゲンパツ フクゴウガタ セン シンケイ ナイブンピツ ガン ノ イチチケンレイ
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Abstract
A52-year-old man visited our hospital because of epigastralgia. The colonoscopic examination revealed an about 4cm-protruded lesion like SMT on the appendix and findings of the biopsy specimen were compatible with the disgnosis of signet ring cell carcinoma. The primary lesion was unknown by upper gastrointestinal endoscopy, CT and PET, and the tumor markers were normal revel. At laparotomy, severe peritoneal metastasis was revealed in the abdominal cavity, especially appendix. Severe stenosis of ileocecum was found, so we conducted ileocecal resection. The histopathological diagnosis was primary signet ring cell caicinoma of appendix, SE, N2, M0, P3, pStage Ⅳ. Postoperatively mFOLFOX was started, but allergic reaction was seen after1cycle. We started Panitumumab/CPT-11and the patient attended our emergency department with shivering chill and fever on treatment day10. The next day he became shock state and CT revealed free air. Operation might not save his life and we started supportive care. He died on the day. The cause of his death was peritonitis by cancer perforation.
Journal
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- 四国医学雑誌
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四国医学雑誌 68 (1-2), 73-78, 2012-04-25
徳島医学会
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Details 詳細情報について
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- CRID
- 1050564287417312128
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- NII Article ID
- 40019338912
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- NII Book ID
- AN00102041
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- ISSN
- 00373699
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- NDL BIB ID
- 023807030
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- Text Lang
- ja
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- Article Type
- journal article
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- Data Source
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- IRDB
- NDL
- CiNii Articles