c l i n i c a l f o l i o s : n a r r a t i v e





A D V E R T I S E M E N T

 

Appendiceal Phlegmon (Mucinous Neoplasm): 16

A D V E R T I S E M E N T

   

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A functional end-to-end anastomosis was performed. The patientís WBC count returned to normal on PO1. Pathological examination of the resected specimen showed infiltration of the cecal wall with mucin and the final diagnosis was mucinous neoplasm (see mucinous cystadenoma of the appendix and laparoscopic appendiceal mucinous cystadenoma) of uncertain malignant potential. Tumor markers (CEA, CA19-9 and CA125) were obtained and only the CA125 was slightly elevated. The concern for release of mucin-producing neoplastic cells (see pseudomyxoma perotonei) from this perforated appendix was discussed at tumor board. Tumor board recommendation was close surveillance.  

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Appendiceal Phlegmon (Mucinous Neoplasm): 17

A D V E R T I S E M E N T

   

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The CT scan was repeated three months after the surgery and showed minimal residual bowel loop thickening in the right lower quadrant and no mass, adenopathy or evidence of mucin collection. The one elevated tumor marker came down to near normal level. The plan was continued close observation.    

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Appendiceal Phlegmon (Mucinous Neoplasm): 18

A D V E R T I S E M E N T

   

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The 6-month follow-up CT scan showed no evidence of residual or recurrent disease. 

Surgical Chief Resident: Joshua Kindelan
Surgical Resident: Paul Hwang    

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This page was last modified on 6/2/2008.