APPENDICEAL CANCER INVADING THE ABDOMINAL WALL: A CASE REPORT AND LAPAROSCOPIC SURGICAL MANAGEMENT
Article Information
Download Article
How to Cite
Abstract
Appendiceal cancer is a rare condition, often diagnosed late due to nonspecific symptoms. We report a case of appendiceal cancer invading the abdominal wall to evaluate the effectiveness of laparoscopic surgery and a multimodal treatment strategy. A 60-year-old male patient was admitted with persistent right iliac fossa pain for 2 months and a 3kg weight loss. Imaging confirmed an 6x8cm appendiceal tumor invading the abdominal wall and cecum, causing partial bowel obstruction. The patient underwent laparoscopic right hemicolectomy with D2 lymphadenectomy. Pathology confirmed moderately differentiated adenocarcinoma with metastases to 12/17 lymph nodes and peritoneal fluid (stage IVB). Postoperative recovery was uneventful, and the patient was discharged on day 7 with adjuvant chemotherapy scheduled. After 3 weeks of follow-up, the patient remained stable. This case highlights the importance of early diagnosis and radical surgery, combined with adjuvant therapy, in improving outcomes for patients with advanced-stage appendiceal cancer.
Keywords
References
- Kelly, K. J. (2015). Management of Appendix Cancer. Clinics in Colon and Rectal Surgery, 28(4), 247–255. DOI: https://doi.org/10.1055/s-0035-1564433
- Nguyễn Thị Nhân, Vũ Đăng Lưu, Triệu Văn Trường, & Vũ Thị Nhung. (2018). Ung thư biểu mô tuyến nhầy của ruột thừa: Báo cáo một trường hợp hiếm gặp và tổng kết trên y văn. Điện Quang Việt Nam, 31, 112–116. DOI: https://doi.org/10.55046/vjrnm.31.563.2018
- Trần Quế Sơn, & Nguyễn Tuấn Thành. (2024). U nhầy ruột thừa: Thông báo lâm sàng và tổng quan y văn. Tạp chí Nghiên cứu Y học, 183(10), 412–418 DOI: https://doi.org/10.52852/tcncyh.v183i10.2769
- Marmor, S., Portschy, P. R., Tuttle, T. M., & Virnig, B. A. (2015). The rise in appendiceal cancer incidence: 2000–2009. Journal of Gastrointestinal Surgery, 19(4), 743–750. DOI: https://doi.org/10.1007/s11605-014-2726-7
- McCusker, M. E., Coté, T. R., Clegg, L. X., & Sobin, L. H. (2002). Primary malignant neoplasms of the appendix: A population-based study. Cancer, 94(12), 3307–3312. DOI: https://doi.org/10.1002/cncr.10589
- Sugarbaker, P. H. (2016). Management of peritoneal metastases of appendiceal origin. Journal of Oncology Practice, 12(10), 889–898.
- Shaib, W. L., Assi, R., Shamseddine, A., et al. (2017). Appendiceal mucinous neoplasms: Diagnosis and management. The Oncologist, 22(9), 1107–1116. DOI: https://doi.org/10.1634/theoncologist.2017-0081
- Kim, S. H., Lim, H. K., Lee, W. J., et al. (2018). Primary malignant tumors of the appendix: CT findings with pathologic correlation. Acta Radiologica, 59(2), 222–230.
- Turaga, K. K., Pappas, S. G., & Gamblin, T. C. (2013). Right hemicolectomy for mucinous adenocarcinoma of the appendix: Just right or too much? Annals of Surgical Oncology, 20(4), 1063–1067. DOI: https://doi.org/10.1245/s10434-012-2783-7
- Chua, T. C., Moran, B. J., Sugarbaker, P. H., et al. (2012). Early- and long-term outcome data of patients with pseudomyxoma peritonei from appendiceal origin treated by a strategy of cytoreductive surgery and hyperthermic intraperitoneal chemotherapy. Journal of Clinical Oncology, 30(20), 2449–2456. DOI: https://doi.org/10.1200/jco.2012.30.4_suppl.532
License
© 2025 The Author(s). Published by Journal of Health and Aging.
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.