Abstract
Case 1: A 43-year-old man with right lower abdominal pain was diagnosed with acute appendicitis and underwent a simple appendectomy. Intraoperative findings showed appendicitis empyematosa with dirty ascites. Histopathological findings of the surgical specimen revealed goblet cell carcinoid (GCC), and the surgical margins were positive for the tumor. Therefore, we recommended additional resection to the patient. A right colectomy with lymph node dissection (D3) was done in another hospital and no residual tumor or metastatic lymph nodes were pathologically identified in the specimen.
Case 2: A 67-year-old man visited our hospital for right lower abdominal pain. We diagnosed acute appendicitis and performed a laparoscopic appendectomy on the same day. Intraoperative findings showed appendicitis empyematosa. The pathological result was GCC. Based on the malignancy of this tumor, we performed laparoscopic ileocecal resection with lymph node dissection (D3). Histopathologically, no remaining tumor or lymph node metastases were found.
GCC is a rare neoplasm that is considered more malignant than classical carcinoid. More data are required to determine appropriate surgical treatment and chemotherapy for GCC.
