Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association)
Online ISSN : 1882-5133
Print ISSN : 1345-2843
ISSN-L : 1345-2843
Case Reports
A Case of Low-grade Appendiceal Mucinous Neoplasm
Masayoshi OBATAKE, Yuhei WAKI, Kouji YAMAMOTO, Hidenori TAKATSUKI, Ryouichi MATSUDA
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2016 Volume 77 Issue 7 Pages 1705-1709

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Abstract
The classification of an appendiceal mucinous tumor is controversial. Low-grade appendiceal mucinous neoplasm (LAMN) is newly classified in the Japanese Classification of Colorectal Carcinoma, Eighth Edition. Here, we report a case of LAMN. A 90-year-old woman suspected to have ileocecal abscess was admitted to our hospital. Abdominal computed tomography showed cystic dilatation of the appendix to 7.5 cm in diameter. We diagnosed appendiceal mucinous tumor and performed ileocecal resection with lymph node dissection (D2) because the possibility of mucinous cystadenocarcinoma could not be ruled out. Mucus was accumulated within the lumen. The pathological diagnosis indicated LAMN. Recent research has found that LAMN is potentially malignant ; however, a treatment strategy has not been established. Therefore, appropriate surgical intervention with careful postoperative surveillance should be considered.
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© 2016 Japan Surgical Association
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