Nihon Gekakei Rengo Gakkaishi (Journal of Japanese College of Surgeons)
Online ISSN : 1882-9112
Print ISSN : 0385-7883
ISSN-L : 0385-7883
CASE REPORTS
Two Cases of Low-Grade Appendiceal Mucinous Neoplasm Resected by Laparoscopy
Hirotomo MurakamiMasakazu MiyakeMamoru UemuraMichihiko MiyazakiMasataka IkedaKazuhiro NishikawaAtsushi MiyamotoMotohiro HiraoShoji NakamoriMitsugu Sekimoto
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2018 Volume 43 Issue 2 Pages 204-209

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Abstract

A strategy of treatment of low-grade appendiceal mucinous neoplasm (LAMN) has not yet been established. We experienced 2 cases operated by laparoscopic surgery. The first case is 75 year-old-female, detected a cyst in the appendix by Computed tomography, and diagnosed as an appendix mucinous cyst. Laparoscopic appendectomy was carried out. Operation time was 45 minutes and the amount of bleeding were a little. The specimen was 8×4cm and mucinous liquid was collecting inside the cyst. The histopathological diagnosis was LAMN. Second case is 36 year old female, aware of the lower right abdominal tumor. Computed tomography showed cystic tumor in a point of an appendix, we diagnosed mucinous cyst of appendix. We performed laparoscopic appendectomy because the tumor was present in a point of the appendix. Operation time was 52 minutes and the amount of bleeding were a little. The specimen was 11×5cm, filled with mucinous liquid. The histopathological diagnosis was LAMN, and the resection margin was negative. We have experienced two case of appendectomy to LAMN. This paper deals with our case with a review of the literature.

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© 2018 Japanese College of Surgeons
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