Appendiküler Müsinöz Kistadenom ve Peritoneal Adenomüsinozis
Year 2021,
Volume: 16 Issue: 1, 122 - 125, 08.02.2021
Mehmet Fatih Yüzbaşıoğlu
,
Alper Boz
,
Hasan Acar
,
Emrah Cengiz
,
Sezgin Topuz
,
Onur Peker
Abstract
41 yaşında erkek hasta, kliniğimize şiddetli karın ağrısı, ateş, bulantı ,kusma şikayetleri ile başvurdu. Operasyon öncesi tanısal amaçla yapılan ultrasonografi ve Bilgisayarlı Tomografi’de; karın içerisinde yer yer kistik kitleler, appendiks çapında büyüme izlendi.
Bazı kanser markerlarının yüksek bulunan ve laparoskopi yapılan hasta da; batın içerisinde yaygın kistler, dilate appendiks, karaciğerde subkapsüler kist görüldü. Laparoskopik olarak appendektomi yapıldı. Peritondan birkaç yerden biyopsi alındı. Patolojik inceleme sonunda; peritoneal adenomüsinozis, appendikste müsinöz kistadenom tanısı konuldu. Operasyondan 1 ay sonra kanser markerları normal düzeye geriledi.
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Year 2021,
Volume: 16 Issue: 1, 122 - 125, 08.02.2021
Mehmet Fatih Yüzbaşıoğlu
,
Alper Boz
,
Hasan Acar
,
Emrah Cengiz
,
Sezgin Topuz
,
Onur Peker
References
- 1. Muraliswar RJ,Karthik S.Giant appendicular mucocele-A case report. Journal of Evolution of Medical and Dental Sciences.2013;32:6119-6123.
2. Dachman AH, Lichtenstein JE, Friedman AC. Mucocele of the appendix and pseudomyxoma peritonei. AJR Am J Roentgenol. 1985;144:923–929.
- 3. Gorgone S,Minniti C,Ilacqua A,Barbuscia M.Giant mucinous cystadenoma in a young patient-A case report. G Chir. 2008;29:42-44.
- 4. Benkirane A,Mikou A,Jahid A,Fouad Z,Laraqui L et all.Primary retroperitoneal mucinous cystadenoma with borderline malignancy in a male patient:a case report. Cases Journal.2009; 2-9098.
5. Ronnett BM, Zahn CM, Kurman RJ, Sugarbaker PH,Shmookler BM (1995). "Disseminated peritoneal adenomucinosis and peritoneal mucinous carcinomatosis. A clinicopathologic analysis of 109 cases with emphasis on distinguishing pathologic features, site of origin, prognosis, and relationship to 'pseudomyxoma peritonei'". Am J Surg Pathol. 19 (12): 1390–408
6. Kim SH, Lim HK, Lee WJ, Lim JH, Byun JY. Mucocele of the appendix; ultrasonographic and CT findings. Abdom Imaging. 1998; 23:292–296.
- 7. Zissin R, Gayer G, Kots E, Apter S, Peri M, Sharipo-Feinberg M. Imaging of mucocele of the appendix with emphasis on the CT findings: a report of 10 cases. Clin Radiol. 1999; 54:826–832.
- 8. Navarra G, Asopa V, Basaglia E, Jones M, Jiao LR, Habib NA. Mucous cystadenoma of the appendix: is it safe to remove it by a laparoscopic approach? Surg Endosc. 2003; 17:833–4
- 9. Winder T, Lenz HJ Mucinous adenocarcinomas with intra-abdominal dissemination: a review of current therapy. Oncologist 2010;15:836-844.
- 10. Abouelnagah G,Kasem M,Sherif A,Elzawawys S Retrospective study of different methods for managing Egyptian patients with pseudomyxoma peritonei:feasibiliy and overall outcome.The Egyptian Journal of Surgery2014:33:194-200.