Objective To explore the standardized diagnosis and treatment of goblet cell adeno-carcinoma of the appendix(GCA).Methods The relevant domestic and international literature was reviewed,and the clinical diagnosis and treatment of one patient with GCA was retrospective-ly analyzed.Results The patient,a 64-year-old male,underwentlaparoscopic appendectomy in a local hospital,and was transferred to the First Affiliated Hospital of Nanchang University to un-dergo laparoscopic radical resection of the right hemicolectomy after the diagnosis of GCA on postoperative pathology,and was discharged from the hospital 9 d after the operation with accept-able postoperative recovery and no serious complications.Two oxaliplatin+calcium levofolinate+fluorouracil chemotherapy regimens as well as six regular oxaliplatin+capecitabine chemotherapy regimens have been administered,and no definitive tumor recurrence or metastasis has been seen in the 19 months of postoperative follow-up.Conclusion The diagnosis of appendiceal malignancy lacks specificity.If the patient with suspected appendicitis is older,has elevated preoperative tumor markers,and has a thickened,hard or palpable appendiceal wall,the likelihood of malignancy should be considered,and intraoperative frozen sections should be performed and sent for exami-nation if necessary to achieve a one-stage radical cure.
appendiceal goblet cell adenocarcinomaappendectomyradical resection of the right colonlaparoscopycase report
万方数据
维普
