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DOI: 10.1055/s-2003-41577
Intramucosal Adenocarcinoma of the Appendix: How to Find and How to Treat
Publikationsverlauf
Submitted 5 November 2002
Accepted after Revision 13 March 2003
Publikationsdatum:
20. August 2003 (online)
![](https://www.thieme-connect.de/media/endoscopy/200309/lookinside/thumbnails/10.1055-s-2003-41577-1.jpg)
Abstract
A colonoscopic examination of a 58-year-old man revealed a small elevated lesion inside the orifice of the appendix. Using a polypectomy snare, a nodular polypoid lesion with a diameter of ca. 20 mm was removed from the lumen of the appendix. Histopathology showed that it was a well-differentiated adenocarcinoma. This is the first report of an intramucosal adenocarcinoma of the appendix diagnosed preoperatively; laparoscopy-assisted colectomy with a D2 lymph-node dissection was carried out. Endoscopists should consider an appendiceal tumor when an erosion, elevation, or deformity is seen in the head of the cecum.
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I. Sakamoto, M. D.
Division of Gastroenterology and Hepatology · Dept. of Internal Medicine · Tokai University School of Medicine
143 Shimokasuya, Isehara · Kanagawa 259-1193 · Japan
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eMail: ichikos@aol.com