Appendiceal mucocele of mucinous cystadenocarcinoma with a cutaneous fistula

Atsunori Nakao, S. Sato, A. Nakashima, A. Nabeyama, N. Tanaka

Research output: Contribution to journalArticle

16 Citations (Scopus)

Abstract

We report a novel case of cystadeno-carcinoma forming an appendiceal mucocele with development of a skin fistula. The patient was a 75-year-old Japanese woman who originally presented with a skin ulcer on the right flank (inferior to the ribs and superior to the iliac bone) with mucus discharge. The serum concentration of carcinoembryonal antigen was elevated (57.4 ng/ml). Ultrasonography and computed tomography demonstrated a cystic mass with septations in the right iliac fossa. Fistulography from the skin ulceration showed a communication via the fistula to the caecum. A right hemicolectomy and enbloc resection of the skin fistula was performed. The histological findings revealed a well-differentiated mucinous cystadenocarcinoma of the appendix. The patient has been alive for 7 years following surgery without any sign of recurrence. This report is of interest as it demonstrates that tumour rupture to the extraperitoneal space could result in a good outcome by preventing the development of pseudomyxoma peritonei.

Original languageEnglish
Pages (from-to)452-456
Number of pages5
JournalJournal of International Medical Research
Volume30
Issue number4
Publication statusPublished - Jul 2002

Fingerprint

Mucinous Cystadenocarcinoma
Cutaneous Fistula
Mucocele
Skin
Pseudomyxoma Peritonei
Skin Ulcer
Ribs
Mucus
Fistula
Rupture
Ultrasonography
Communication
Tomography
Carcinoma
Antigens
Bone and Bones
Recurrence
Serum
Surgery
Tumors

Keywords

  • Appendiceal mucocele
  • Appendix
  • Cystadenocarcinoma
  • Fistula
  • Mucus
  • Skin

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Appendiceal mucocele of mucinous cystadenocarcinoma with a cutaneous fistula. / Nakao, Atsunori; Sato, S.; Nakashima, A.; Nabeyama, A.; Tanaka, N.

In: Journal of International Medical Research, Vol. 30, No. 4, 07.2002, p. 452-456.

Research output: Contribution to journalArticle

Nakao, A, Sato, S, Nakashima, A, Nabeyama, A & Tanaka, N 2002, 'Appendiceal mucocele of mucinous cystadenocarcinoma with a cutaneous fistula', Journal of International Medical Research, vol. 30, no. 4, pp. 452-456.
Nakao, Atsunori ; Sato, S. ; Nakashima, A. ; Nabeyama, A. ; Tanaka, N. / Appendiceal mucocele of mucinous cystadenocarcinoma with a cutaneous fistula. In: Journal of International Medical Research. 2002 ; Vol. 30, No. 4. pp. 452-456.
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