Low‐grade appendiceal mucinous neoplasm penetrating sigmoid colon: A case report

• Published in: Asian journal of endoscopic surgery Vol. 17; no. 4; pp. e13368 - n/a
• Main Authors: Okamoto, Michio, Okamura, Ryosuke, Itatani, Yoshiro, Aisu, Yuki, Kinoshita, Hiromitsu, Hoshino, Nobuaki, Maekawa, Hisatsugu, Sakamoto, Takashi, Kasahara, Keiko, Okumura, Shintaro, Nishigori, Tatsuto, Hisamori, Shigeo, Tsunoda, Shigeru, Hida, Koya, Nikaido, Mitsuhiro, Hiramatsu, Yukiko, Teramoto, Yuki, Nagayama, Satoshi, Obama, Kazutaka
• Format: Journal Article
• Language: English
• Published: Kyoto, Japan John Wiley & Sons Australia, Ltd 01.10.2024; Wiley Subscription Services, Inc
• Subjects: Adenocarcinoma, Mucinous - diagnosis; Adenocarcinoma, Mucinous - pathology; Adenocarcinoma, Mucinous - surgery; Aged, 80 and over; Appendiceal Neoplasms - diagnosis; Appendiceal Neoplasms - pathology; Appendiceal Neoplasms - surgery; appendix; Case reports; Colon, Sigmoid - pathology; Colon, Sigmoid - surgery; Humans; LAMN; laparoscopic; Male; Neoplasm Invasiveness; appendix; LAMN; laparoscopic
• ISSN: 1758-5902; 1758-5910; 1758-5910
• DOI: 10.1111/ases.13368

Low‐grade appendiceal mucinous neoplasm (LAMN) is principally characterized by low‐grade cytology without evidence of invasion to other organs. We report a LAMN surgical case whose appendiceal tumor penetrated the sigmoid colon wall. An 87‐year‐old man was referred for endoscopic resection (ER) of a colon polyp. Despite four ERs over 5 years, the polyp recurred at the same site. Laparoscopic surgery revealed a dilated appendix firmly attached to the sigmoid colon. We performed en bloc resection of both the sigmoid colon and appendix without tumor exposure. The histopathological evaluation showed that the LAMN had penetrated the sigmoid colon wall, forming two polyps on the colonic mucosa. In cases where the appendiceal‐colonic fistula is suspected, en bloc resection of the appendix and colon wall should be considered.