@misc{10481/56420,
year = {2019},
month = {4},
url = {http://hdl.handle.net/10481/56420},
abstract = {Objetivo: Presentar un caso de un cistoadenocarcinoma mucinoso de apéndice, diagnosticado a raíz de un cuadro clínico de apendicitis aguda.
Método: Paciente varón de 82 años valorado en Urgencias por cuadro de dolor abdominal. Con el diagnóstico de abdomen agudo por sospecha de apendicitis aguda, se propone tratamiento quirúrgico urgente identificándose una tumoración apendicular de aspecto mucinoso.
Resultado: Ante el diagnóstico histológico de patología tumoral se completa la cirugía con una hemicolectomía derecha laparoscópica. El seguimiento analítico y radiológico realizado, evidencia una elevación progresiva del marcador tumoral Ca 19.9. En el control de los 30 meses se identifican signos de recidiva peritoneal valorando el inicio de tratamiento quimioterápico adyuvante, el cual es desestimado por la edad y la patología de base del paciente.
Conclusiones: La mayoría de tumores apendiculares son benignos y una apendicectomía simple es curativa. Determinados casos, en función de las características histológicas, precisan completar la cirugía con una hemicolectomía derecha.},
abstract = {Objective: To present an appendix adenocarcinoma case report mimicking acute appendicitis.
Method: An 82 year old male was treated in the emergencies department presenting abdominal pain. He was diagnosed of acute abdomen due to a suspected case of acute appendicitis. An urgent surgical treatment was proposed and an appendiceal tumor with mucinous appearance was identified during the surgery.
Result: The surgery was completed with a laparoscopic right hemicolectomy followed by the histological diagnosis of tumor pathology. The analytical and radiological examination evidenced a progressive elevation of the Ca 19.9 tumor marker. The 30-month post-intervention control revealed signs of peritoneal recurrence. The use of adjuvant chemotherapy was assessed but dismissed by the patient's age and underlying pathology.
Conclusions: Most appendiceal tumors are benign and simple appendectomy is considered curative. Complete precision surgery with a right hemicolectomy is necessary in certain cases depending on the histological characteristics.},
publisher = {Consejo Andaluz de Colegios de Médicos; Real Academia de Medicina y Cirugía  de Andalucía Oriental; Real Academia de Medicina de Cádiz; Real Academia de Medicina de Sevilla},
keywords = {Tumores apendiculares},
keywords = {Cistoadenocarcinoma mucinoso},
keywords = {Hemicolectomia laparoscópica},
keywords = {Appendiceal tumors},
keywords = {Mucinous cystoadenocarcinoma},
keywords = {Laparoscopic hemicolectomy},
title = {Tumores apendiculares. A proposito de una apendicitis},
doi = {10.15568/am.2019.806.cc03},
author = {Trebolle, José Fernando and Cantarero-Carmona, Irene and Blas-Laína, Juan Luís and Re-Moreno, Laura and Luesma-Bartolomé, Mª José},
}