A Long-term Surviving Case of Goblet Cell Adenocarcinoma of the Appendix Treated as a Case of Colorectal Cancer

Abstract

A woman in her 50s presented to us with a history of abdominal pain and distention. Abdominal computed tomography revealed bowel obstruction due to a stenotic lesion in the ileocecal region. We performed laparoscopic ileocecal resection after decompression with an ileus tube. Histopathological examination revealed the diagnosis of goblet cell adenocarcinoma of the appendix. In view of the possibility of lymph node metastasis, we performed additional surgery. The final histopathological diagnosis was goblet cell adenocarcinoma, T4b, N0, M0, ly1, v1, PM0, VM0, pStage II. Fourteen months after the first operation, abdominal computed tomography revealed the ovarian metastasis and peritoneal dissemination, and we started the patient on chemotherapy. However, after 5 cycles of chemotherapy, 45 months after the first operation, the patient died of cancer progression. Herein, we report a long-term surviving case of goblet cell carcinoid who received additional surgery and chemotherapy after the initial surgery.