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복강내 전이 재발된 충수돌기의 선유암종

Peritoneal Metastasis of an Carcinoma in the Appendix

대한대장항문학회지 2004년 20권 6호 p.411 ~ 414
임치영 ( Lim Chi-Young ) - 연세대학교 의과대학 외과학교실

김종우 ( Kim Jong-Woo ) - 포천중문의과대학교 외과학교실
김승기 ( Kim Seung-Ki ) - 포천중문의과대학교 외과학교실
이경포 ( Lee Kyung-Po ) - 포천중문의과대학교 외과학교실


An adenocarcinoma of the appendix is a rare tumor, and so far only 130 cases have been reported worldwide. We report one patient with peritoneal seeding of an adenocarcinoma. A 51-year-old man was admitted to our hospital with the impression of intestinal obstruction. He had undergone an appendectomy 5 years ago due to acute appendicitis. At that time, postoperative histopathological analysis had revealed an adenocarcinoid tumor in the appendix. The patient had been told to visit our hospital for follow-up but he hadn´t visited. When he finally visited our hospital diagnostic laparoscopy revealed the peritoneal seeding of a recurrent adenocarcinoma. A palliative right hemicolectomy was done to relieve the bowel obstruction. After recovering from operation, the patient was treated with the 5-fluoruracil, leucovorin, and oxaloplatin (FOLFOX). The patient was discharged in improved general condition with a future plan for regular cyclic chemotherapy. J Korean Soc Coloproctol 2004;20:411-414


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