1999 Volume 52 Issue 6 Pages 489-494
A rare case of goblet cell carcinoid of the vermiform appendix was reported. A 90-year-old male complained of right lower abdominal pain. Physical examination revealed a 4-cm hard mass in the right iliac region, but there were no findings by image examination and follow-up was done. He was admitted due to tarry stool after 3 weeks. Upper gastrointestinal endoscopic examination revealed multiple hemorrhagic gastric ulcers and possible endoscopic hemostasis Distal gastrectomy was performed because of incomplete hemostasis. Since the tumor was found in the ileocecal region, ileoceal resection was performed at the same time.Histological investigation revealed a goblet cell carcinoid of the appendix because mucin-producing goblet cell and endocrine cell that was positive in chromogranin stain mixed. A goblet cell carcinoid has a course almost worse than common carcinoid and its histological malignancy is similar to cancer. Therefore, it is necessary to investigate histologically and observe its course sufficiently.
