Low-grade appendiceal mucinous neoplasm penetrating sigmoid colon: A case report
Abstract
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.
CONFLICT OF INTEREST STATEMENT
The authors declare that they have no competing interests to this work. Koya Hida and Kazutaka Obama are the Editorial Board members of ASES Journal and the co-authors of this article. To minimize bias, they were excluded from all editorial decision-making related to the acceptance of this article for publication.
Open Research
DATA AVAILABILITY STATEMENT
Data sharing is not applicable to this article because no datasets were generated for this case report.
