Lymphangitic spread from appendiceal adenocarcinoma to ileocecal valve, mimicking Crohn's disease
Lymphangitic spread from appendiceal adenocarcinoma to ileocecal valve, mimicking Crohn's disease作者机构：Department of Pathology University of Vermont-College of Medicine/Fletcher Allen Health Care Department of Medicine-Gastroenterology University of Vermont-College of Medicine/Fletcher Allen Health Care
出 版 物：《World Journal of Gastroenterology》 (世界胃肠病学杂志（英文版）)
年 卷 期：2015年第21卷第7期
页 面：2206-2209页
核心收录：
学科分类：1002[医学-临床医学] 100214[医学-肿瘤学] 10[医学]
主 题：Signet ring carcinoma Crohn’s disease Inflammatory
摘 要：Due to the anatomical peculiarity of the appendix,diagnosis of tumors arising from this area can be challenging by clinicoradiologic *** report a case of a rare primary appendiceal signet ring carcinoma with an uncommon *** 86-year-old woman was admitted toour hospital with subacute epigastric *** tomography demonstrated bowel wall thickening with fat stranding in the ileocecal *** leading diagnostic consideration was inflammatory bowel *** colonoscopy,a swollen,distorted ileocecal valve was *** remaining colon was otherwise *** biopsy sampling of the ileocecal region and colon was performed.A lymphangitic signet ring carcinoma within the ileocecal region was diagnosed on biopsy;there was no dysplasia or carcinoma of the remaining *** cytomorphology and immunoprofile,a lymphangitic signet ring carcinoma of appendiceal origin was the primary consideration,further confirmed upon subsequent *** case represents an unusual pattern of appendiceal tumor spread with localized,lymphangitic involvement,creating a milieu which closely simulates Crohn’s disease on imaging modalities.
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