Key words: carcinoma of the vermiform apendix, double cancer of the vermiform appendix and the

Transcription

1 Key words: carcinoma of the vermiform apendix, double of the vermiform appendix and the

2 Fig. 1 The resected specimen of the case 1. Almost whole body of the appendix rvas srvelled with cystic lesion at the edge. wall of the tumor with the ulceration at the Fig.4 Endoscopic ogram showed (a) rand opposite site of Bauhin's valve and (b) polypoid lesion with smooth and yellowish surface like a submucosal tumor at the same site of Bauhin's valve.

3 Fig. 6 Histopathological finding of case 2 showed (a) moderately differentiated of the caecum (H.E. x 100) and (b) well differentiated mucinous cyst of the appendix (H.E. x100).

4 author year Table I Cases of double of appendix and other organs in our country chief complaint I i4^.,i +., on defecation distension preoperative diagnosis Crohn or l.d epigastralgia gastric lorver appendicitis constipation anal lead-pencil stool vulvar discomfort anal lower anal ascending multiple caecal tumor constipation descending fever of unknown origin weight loss occult blood in stool tumors of appendix and gallbladder caecal, caecal submucodal tumor operation method ileal,, gastrectomy gastrectomy, ileocaecal illeocaecal gastrectomy, colectomy, amputatlon, ileocaecal descending colectomy, histopathological findings of appendix rectum papillotubulare scirrhosum cyst -^^:lt--^ cyst cyst cyst moderatery difierentiated site of doubled ileum, kidney ascending rn villous adenoma cyst rectum, descending well difierentiated cyst

5 Two Cases of Primary Carcinoma of the Vermiform Appendix, Including One Case of Double Cancer of Vermiform Appendix and Caecum Kuniyuki Katano, Hideo Sakamoto, Hiroki Kawasumi, Eiichi Yurugi andjuro Abe Department of Surgery, Saisei-kai Gotsu Hospital Yoichi Kinugasa and Makoto Tanida Department of Surgery, Yonago Hakuai Hospital Primary carcinoma of the vermiform appendix is uncommon, and cases of double of the vermiform appendix and other organs are rare. In this paper two cases of vermiform appendix, including one case of double of vermiform appendix and caecum, are reported together with some discussion of the literature. Case 1 was a 70-year-old woman with the chief complaint of lower. A small mass with a smooth and elastic hard surface was palpated in this region. Perityphilitic abscess caused by acute appendicitis was suspected. Appendectomy and partial of the greater omentum were performed. Histopathological examinations indicated a diagnosis of mucinous cyst with invasion to the greater omentum, so was then performed. Case 2 was a 79-year-old woman who was admitted to the hospital to determine the cause of occult blood in stool. Barium enema studies and fiber studies indicated caecal and caecal submucosal tumor. Right was performed. The mass preoperatively diagnosed as caecal submucosal tumor was proved to be appendicular tumor. The histopathological diagnoses were moderately differentiated for the caecal tumor and well differentiated mucinous cyst for the appendicular tumor. Reprint requests: Kuniyuki Katano Department of Surgery, Saiseikai Gotsu Hospital 1551 Gotsu Town, Gotsu City,695JAPAN