[A case of mucinous cystadenocarcinoma of the appendix with abdominal wall abscess successfully treated by percutaneous drainage and systemic chemotherapy-a case report].

Abstract

A 76-year-old woman was diagnosed of mucinous cystadenocarcinoma of the appendix. Since there was wide direct invasion into the right psoas muscle, she was judged as inoperable although she had no bowel obstruction. She was received FOLFIRI and bevacizumab treatment. After the first cycle, the tumor progressed rapidly and formed the abdominal wall abscess at the right groin. Since she had a fever and pain at the right groin and the abscess reached the hypodermic, we put a drainage tube into the abscess. The tube was placed, which made her symptoms improved markedly. We have been continuing with FOLFIRI treatment and drainage for 10 months without progressive disease. We report a rare case of the conservative therapy of mucinous cystadenocarcinoma of appendix with abdominal wall abscess.

• Authors: Keita Tagami, Shigeru Tanda, Ryohei Nomura, Akihiro Saito, Hiroyuki Takahashi, Hiromi Tokumura, Hiroki Maekawa, Fujio Matsumoto
• Journal: Gan to kagaku ryoho. Cancer & chemotherapy (Gan To Kagaku Ryoho) Vol. 38 Issue 12 Pg. 1978-80 (Nov 2011) ISSN: 0385-0684 [Print] Japan
• PMID: 22202258 (Publication Type: Case Reports, English Abstract, Journal Article, Review)

Chemical References

• Leucovorin
• Fluorouracil
• Camptothecin

Topics

• Abdominal Abscess (etiology, therapy)
• Aged
• Antineoplastic Combined Chemotherapy Protocols (therapeutic use)
• Appendiceal Neoplasms (complications, drug therapy, pathology)
• Biopsy
• Camptothecin (analogs & derivatives, therapeutic use)
• Cystadenocarcinoma, Mucinous (complications, drug therapy, pathology)
• Drainage
• Female
• Fluorouracil (therapeutic use)
• Humans
• Leucovorin (therapeutic use)
• Tomography, X-Ray Computed