APPENDİKSİN PRİMER ADENOKARSİNOMU – OLGU SUNUMU

Year 2004, Volume: 10 Issue: 1, 43 - 46, 01.03.2004

E Oğuz Özgür F Alkan Taşlı Ö Özdamar H Postacı A Galip Deneçli

Abstract

Appendiksin primer adenokarsinomu nadir bir tümör tipi olup tüm gastrointestinal tümörlerin %0,5’inden azını oluşturur. Tanı genellikle postoperatif dönemde histopatolojik inceleme ile konur. Akut appandisit kliniği ile hastanemize başvuran 43 yaşındaki erkek hastada appendiksin diferansiye kolonik tip adenokarsinomu saptanmıştır. Postoperatif evresi Duke’s B olan olguya ikinci bir operasyonla sağ hemikolektomi uygulanmış olup postopertif dönemde kemoterapi görmüştür. Appendiksin primer adenokarsinom tanısını pre veya intraoperatif olarak koymak güç olup, postoperatif olarak tanısı konan hastalarda appendektomiyi takiben sağ hemikolektomi önerilmektedir

Keywords

Appendiks, adenokarsinom

PRİMARY ADENOCARCİNOMA OF APPENDİX – CASE REPORT

Abstract

Primary adenocarcinoma of appendix is a rare tumor and occuring less than %0,5 of all gastrointestinal tumors. Diagnosis was usually achieved by histopathological investigation during postoperative period. 43 years of old male patient who had symptoms of acute appendicitis admitted to our hospital and the patient differentiated primary adenocarsinoma of appendix with colonic type. Postoperative staging was Duke’s B and chemotherapy was done after right hemicolectomy had been performed as second operation. Pre or intraoperative diagnosis of primary adenocarcinoma of appendix is usually difficult and once diagnosis is made, right hemicolectomy is recommended surgical procedure

Keywords

Appendix, adenocarcinoma

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