Combined appendiceal goblet cell adenocarcinoma and low grade mucinous neoplasm: a case report with unusual presentation
DOI:
https://doi.org/10.18203/2320-6012.ijrms20242624Keywords:
Appendix, Mucinous neoplasm, Carcinoma of the appendix, GCA, Appendectomy, Right hemicolectomy, NETsAbstract
Appendiceal tumours are uncommon. They mostly present with abdominal pain due to appendicitis or as an incidental finding in an appendicectomy specimen. After neuroendocrine tumours (NETs), mucinous neoplasms are the most common appendiceal tumours. Goblet cell adenocarcinoma (GCA) is rare and exclusive in appendix. This is a distinctive subset of amphicrine tumour composed of both goblet and endocrine cells. They are more aggressive as compared to the conventional appendiceal tumours. Presence of both the tumours in the same patient is a rare instance. These synchronous tumours pose challenges for diagnosis as well as management. Here, we present a case of an 80 years old female with combined GCA and low grade appendiceal mucinous neoplasm.
References
Das R, Cantor JP, Vu TQ. Two concurrent appendiceal neoplasms in an elderly patient: A case report. Int J Surg Case Rep. 2017;40:124-6.
Carboni F, Covello R, Diodoro MG, Vizza E, Valle M. Triple synchronous tumours of the appendix: carcinoid, goblet cell carcinoma and low-grade mucinous neoplasm. Am Surg. 2020;89:3134820954847.
Ng D, Falck V, McConnell YJ, Mack LA, Temple WJ, Gui X. Appendiceal goblet cell carcinoid and mucinous neoplasms are closely associated tumours: lessons from their coexistence in primary tumours and concurrence in peritoneal dissemination. J Surg Oncol. 2014;109:548-55.
Masato Y, Melanie JE, Srivastava A, Ryan DP, Cusack JC, Doyle L, et al. Histologic and Outcome Study Supports Reclassifying Appendiceal Goblet Cell Carcinoids as Goblet Cell Adenocarcinomas, and Grading and Staging Similarly to Colonic Adenocarcinomas. Am J Surgical Pathol. 2018;42(7):898-910.
Wang Y, Shahabi A, Loeffler A. Appendiceal Goblet Cell Adenocarcinoma: A Historically Informed Reading of 6 Cases. Arch Pathol Lab Med. 2022;146(11):1402-11.
Palmer K, Weerasuriya S, Chandrakumaran K, Rous B, White BE, Paisey S, et al. Goblet Cell Adenocarcinoma of the Appendix: A Systematic Review and Incidence and Survival of 1,225 Cases From an English Cancer Registry. Front. Oncol. 2022;12:915028.
Alsaad KO, Serra S, Chetty R. Combined goblet cell carcinoid and mucinous cystadenoma of the vermiform appendix. World J Gastroenterol. 2009;15:3431-3.
Yamakawa D, Yuguchi S, Yoshinaga A, Ikeda J, Noguchi M. A case of diffuse goblet cell adenocarcinoma of the appendix showing carcinoid-like expansion. Pathol. Int. 2023;73:527-9.
Shaib WL, Assi R, Shamseddine A, Alese OB, Staley C 3rd, Memis B, et al. Appendiceal Mucinous Neoplasms: Diagnosis and Management. Oncologist. 2017;22(9):1107-16.
Oh CE, Kim SE, Oh SJ. A rare goblet cell adenocarcinoma arising from Barrett's esophagus: the first reported case in the esophagus. J Pathol Transl Med. 2024;58(2):81-6.
Norman JC, Manuel RJ, Newton ACSW, Roger MF, Dataset for histopathological reporting of carcinomas and mucinous neoplasms of the appendix. London, UK: The Royal College of Pathologists, 2021. Available at: www.rcpath.org/profession/guidelines/ cancer-datasets-and-tissue-pathways.html. Accessed on 20 June 2024.
Deveson LC. Goblet cell adenocarcinoma: a case report and update regarding investigation and management. J Surgical Case Rep. 2023;4:rjad215.