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KMID : 0378019880310050047
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New Medical Journal
1988 Volume.31 No. 5 p.47 ~ p.50
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Goblet Cell Type of Adenocarcinoid of the Vermiform Appendix
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Abstract
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A primary mucin-producing adenocarcinoid of the vermiform appendix is very rare. The terminology,
classification and pathogenesis are not clarified at this time, so several diagnostic terms have been used, such as, micinous carcinoid`(Klein), goblet ´cell carcinoid (Subbuswamy et al:), adenocarcinoid (Warkel et al.), crypt cell carcinoma (Isaacson), and microglandular carcinoma (Wolff and Ahmed), etc.
The authors experienced a case of goblet cell type of adenocarcinoid in a sixty-seven years old female patient. she admitted to general surgery department, because of lower abdominal pain for one day. Simple appendectomy was performed. The vermiform appendix revealed obliterated distal half of the append: ceal lumen with light yellow solid mass. Microscopically, the tumor cells were mainly situated in the submu osal layer, arranged in small clumps or festoons. They were distended with mucin and contained cresen eric nuclei arranged around the periphery of the clumps. The tumor cells showed continuity to the basi landular portion of the mucosa, and infiltrated through the mucosal layer. Abnormal mitotic figure was not fund.
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