Laparoscopic Right Hemicolectomy for Goblet-Cell Carcinoid of the Appendix: Report of a Rare Case and Literature Survey

2008 ◽  
Vol 18 (3) ◽  
pp. 417-421 ◽  
Author(s):  
Chinnusamy Palanivelu ◽  
Muthukumaran Rangarajan ◽  
Shankar Annapoorni ◽  
Rangaswamy Senthilkumar ◽  
Natesan V. Anand
2017 ◽  
Vol 102 (3-4) ◽  
pp. 131-136
Author(s):  
Suman B. Koganti ◽  
Brian F. Gilchrist ◽  
Tresara C. Bell

Appendix is the most common site of occurrence for a goblet cell carcinoid tumor. A diagnosis of an appendiceal goblet cell carcinoid is made in retrospect the majority of the time. These tumors are best treated with a right hemicolectomy and adjuvant therapies tailored according to the presence or absence of residual disease. Presentation as a perforated appendix is seen in 16% of these tumors. The natural history and the ideal management strategy in such a scenario are not well described. In those with peritoneal spread cytoreductive surgery with HIPEC (hyperthermic intraperitoneal chemotherapy) offers the best disease-free and progression-free survival. Close follow-up with cross-sectional imaging helps in identifying recurrences at the earliest. Multimodality management involving patient participation in every aspect of care accomplishes high-value care in the treatment of these tumors.


2019 ◽  
Vol 12 (3) ◽  
pp. 807-813
Author(s):  
Joseph W. Clyde ◽  
Alan W. Katz

Adenocarcinoma ex-goblet carcinoid (ADA ex-GCC) is a rare and aggressive subtype of goblet cell carcinoid, a distinct tumor of the appendix characterized by both neuroendocrine and glandular differentiation. Patients often present with chronic abdominal pain or symptoms of acute appendicitis. Right hemicolectomy is the primary mode of treatment, and prophylactic salpingo-oophorectomy and hysterectomy is recommended in post-menopausal women due to the tumor’s propensity of transcoelemic spread, especially to the ovaries. In this case report, we describe a patient with ADA ex-GCC who was found to have oligometastic disease in the pelvis and treated with hypofractionated stereotactic body radiation therapy (HSRT). She initially underwent a right hemicolectomy followed by adjuvant capecitabine four years prior when her tumor was incidentally discovered on colonoscopy. She subsequently had a salpingo-oophorectomy for gynecologic tract metastatic disease and declined further chemotherapy. The patient was again discovered to have oligometastatic disease in the right pelvis adjacent to the rectum on a Gallium-68 dotatate PET/MRI, and was subsequently treated with HSRT to 39 Gy in 6.5 Gy daily fractions. The patient tolerated her radiation course without notable radiation-related toxicity, and she remains without disease progression nine months later.


2021 ◽  
Vol 51 (1) ◽  
Author(s):  
Agustín Virgili ◽  
Carlos Ernesto Wendichansky ◽  
Sara Gonorazky ◽  
Martín Nieva

The involvement of the appendix by lymphomas, both primarily or secondarily, is extremely rare; primary lymphomas account for less than 0.02% of gastrointestinal neoplasm. We present the rare case of a patient who debuts with low gastrointestinal bleeding as the main symptom. Colonoscopy found an extra mucosal tumour on the posterior aspect of the ceccum and bleeding from the appendicular orifice. Primary appendicular tumour is confirmed on multislice computed tomography and laparoscopic right hemicolectomy is performed. The patient had an uneventful postoperative course and was discharged on the 6th postoperative day. The pathology report shows a infiltration of the cecal appendix by grade 2 follicular lymphoma.


2018 ◽  
Vol 57 (17) ◽  
pp. 2489-2496
Author(s):  
Hitoshi Shibuya ◽  
Susumu Hijioka ◽  
Nobumasa Mizuno ◽  
Takamichi Kuwahara ◽  
Nozomi Okuno ◽  
...  

2018 ◽  
Vol 2018 (9) ◽  
Author(s):  
Shogik Abramyan ◽  
Mahmoud W Almadani ◽  
Sandeep Sirsi ◽  
Philip Q Xiao ◽  
Armand P Asarian

2013 ◽  
Vol 4 (3) ◽  
pp. 334-337 ◽  
Author(s):  
Bhaskar Mitra ◽  
Mallika Pal ◽  
Biswanath Paul ◽  
Tarak Nath Saha ◽  
Ashok Maiti

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