Perforated Goblet Cell Carcinoid of the Appendix

Kimitoshi Kubo; Noriko Kimura; Masato Suzuoki; Soichiro Matsuda; Momoko Tsuda; Masanori Ohara; Mototsugu Kato

doi:10.1159/000508427

Perforated Goblet Cell Carcinoid of the Appendix

Case Rep Gastroenterol. 2020 Jul 22;14(2):354-360. doi: 10.1159/000508427. eCollection 2020 May-Aug.

Authors

Kimitoshi Kubo¹, Noriko Kimura², Masato Suzuoki³, Soichiro Matsuda¹, Momoko Tsuda¹, Masanori Ohara³, Mototsugu Kato¹

Affiliations

¹ Department of Gastroenterology, National Hospital Organization Hakodate National Hospital, Hakodate, Japan.
² Department of Pathology, National Hospital Organization Hakodate National Hospital, Hakodate, Japan.
³ Department of Surgery, National Hospital Organization Hakodate National Hospital, Hakodate, Japan.

Abstract

Goblet cell carcinoid (GCC) of the perforated appendix is rare, and its pathological features and prognosis remain poorly described. A 71-year-old woman was admitted to our hospital for right lower abdominal pain, vomiting, and high-grade fever. She was diagnosed with acute appendicitis and underwent emergency laparoscopic appendectomy. Intraoperative examination revealed an enlarged and perforated appendix. Histopathological examination revealed GCC of the appendix with subserosal invasion. She underwent laparoscopic ileocecal resection with lymph node dissection (D3) following appendectomy. Histopathological findings showed no residual tumor or lymph node metastases. To the best of our knowledge, this report is a valuable addition to the GCC literature, describing a case of GCC of the appendix presenting as perforated appendix.

Keywords: Acute appendicitis; Appendix; Goblet cell carcinoid; Perforation.

Publication types

Case Reports