A case of primary appendiceal adenocarcinoma with some interesting PET/CT and SILS findings
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- GAO ZHIGANG
- Department of Coloproctological Surgery, Juntendo University Faculty of Medicine
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- TASHIRO YOSHIHIKO
- Department of Coloproctological Surgery, Juntendo University Faculty of Medicine
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- NAGAYASU KIICHI
- Department of Coloproctological Surgery, Juntendo University Faculty of Medicine
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- NIWA KOICHIRO
- Department of Coloproctological Surgery, Juntendo University Faculty of Medicine
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- ONO SEIGO
- Department of Coloproctological Surgery, Juntendo University Faculty of Medicine
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- ISHIYAMA SHUN
- Department of Coloproctological Surgery, Juntendo University Faculty of Medicine
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- SUGIMOTO KIICHI
- Department of Coloproctological Surgery, Juntendo University Faculty of Medicine
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- HATA MASAKI
- Department of Coloproctological Surgery, Juntendo University Faculty of Medicine
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- KAMIYAMA HIROHIKO
- Department of Coloproctological Surgery, Juntendo University Faculty of Medicine
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- KOMIYAMA HIROMITSU
- Department of Coloproctological Surgery, Juntendo University Faculty of Medicine
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- TAKAHASHI MAKOTO
- Department of Coloproctological Surgery, Juntendo University Faculty of Medicine
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- YAGINUMA YUKIHIRO
- Department of Coloproctological Surgery, Juntendo University Faculty of Medicine
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- KOJIMA YUTAKA
- Department of Coloproctological Surgery, Juntendo University Faculty of Medicine
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- GOTO MICHITOSHI
- Department of Coloproctological Surgery, Juntendo University Faculty of Medicine
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- TANAKA MASANOBU
- Department of Coloproctological Surgery, Juntendo University Faculty of Medicine
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- SENGOKU HIRONOBU
- Department of Coloproctological Surgery, Juntendo University Faculty of Medicine
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- OKUZAWA ATSUSHI
- Department of Coloproctological Surgery, Juntendo University Faculty of Medicine
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- TOMIKI YUICHI
- Department of Coloproctological Surgery, Juntendo University Faculty of Medicine
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- SAKAMOTO KAZUHIRO
- Department of Coloproctological Surgery, Juntendo University Faculty of Medicine
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- IMAM ABDKADIR
- Department of Humanpathology, Juntendo University Faculty of Medicine
Bibliographic Information
- Other Title
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- PET/CTで虫垂癌を疑いSILSを施行した1例
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Abstract
A 62-year-old woman complained of right lower abdominal pain without any systemic or local signs. Laboratory tests demonstrated elevated serum CEA levels. Pelvic CT showed a small mass in the right pelvic cavity. PET/CT showed enhancement with FDG accumulation in the lesion. The initial preoperative suspicion was malignant epithelial tumor involving the vermiform appendix, but ovarian tumor was not excluded. Exploratory single incisional laparoscopic surgery (SILS) was performed. SILS confirmed that the mass originated from the appendix and infiltrated to the right adnexa uteri and distal mesoileum. Considering that this was most likely advanced cancer, the procedure was converted to open surgery. Frozen section pathological examination of the en bloc resected specimen demonstrated a primary appendiceal adenocarcinoma. Ileocolectomy was subsequently performed. In this case, we used PET/CT and SILS as diagnostic tools and found both of these to be helpful.
Journal
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- Juntendo Medical Journal
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Juntendo Medical Journal 56 (5), 472-477, 2010
The Juntendo Medical Society
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Keywords
Details 詳細情報について
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- CRID
- 1390282680723998720
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- NII Article ID
- 130004712165
- 10029498671
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- NII Book ID
- AN00113194
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- ISSN
- 21882134
- 00226769
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- NDL BIB ID
- 10894077
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- Text Lang
- ja
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- Data Source
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- JaLC
- NDL
- Crossref
- CiNii Articles
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- Abstract License Flag
- Disallowed
