{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,2]],"date-time":"2026-05-02T12:43:09Z","timestamp":1777725789222,"version":"3.51.4"},"reference-count":16,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2002,8,1]],"date-time":"2002-08-01T00:00:00Z","timestamp":1028160000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Int Med Res"],"published-print":{"date-parts":[[2002,8]]},"abstract":"<jats:p>We report a novel case of cystadenocarcinoma forming an appendiceal mucocele with development of a skin fistula. The patient was a 75-year-old Japanese woman who originally presented with a skin ulcer on the right flank (inferior to the ribs and superior to the iliac bone) with mucus discharge. The serum concentration of carcinoembryonal antigen was elevated (57.4 ng\/ml). Ultrasonography and computed tomography demonstrated a cystic mass with septations in the right iliac fossa. Fistulography from the skin ulceration showed a communication via the fistula to the caecum. A right hemicolectomy and enbloc resection of the skin fistula was performed. The histological findings revealed a well-differentiated mucinous cystadenocarcinoma of the appendix. The patient has been alive for 7 years following surgery without any sign of recurrence. This report is of interest as it demonstrates that tumour rupture to the extraperitoneal space could result in a good outcome by preventing the development of pseudomyxoma peritonei.<\/jats:p>","DOI":"10.1177\/147323000203000416","type":"journal-article","created":{"date-parts":[[2013,2,27]],"date-time":"2013-02-27T14:22:28Z","timestamp":1361974948000},"page":"452-456","source":"Crossref","is-referenced-by-count":24,"title":["Appendiceal Mucocele of Mucinous Cystadenocarcinoma with a Cutaneous Fistula"],"prefix":"10.1177","volume":"30","author":[{"given":"A","family":"Nakao","sequence":"first","affiliation":[{"name":"First Department of Surgery, Okayama University Medical School, 2-5-1 Shikatacho, Okayama, Okayama 700-8558, Japan"},{"name":"Department of Surgery, Himeji Red Cross Hospital, Himeji 670-0032, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"S","family":"Sato","sequence":"additional","affiliation":[{"name":"Department of Surgery, Himeji Red Cross Hospital, Himeji 670-0032, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"A","family":"Nakashima","sequence":"additional","affiliation":[{"name":"Department of Surgery, Himeji Red Cross Hospital, Himeji 670-0032, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"A","family":"Nabeyama","sequence":"additional","affiliation":[{"name":"Department of Surgery, Himeji Red Cross Hospital, Himeji 670-0032, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"N","family":"Tanaka","sequence":"additional","affiliation":[{"name":"First Department of Surgery, Okayama University Medical School, 2-5-1 Shikatacho, Okayama, Okayama 700-8558, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2002,8,1]]},"reference":[{"key":"bibr1-147323000203000416","first-page":"401","volume":"175","author":"Landen S","year":"1992","journal-title":"Surg Gynecol Obstet"},{"key":"bibr2-147323000203000416","first-page":"441","volume":"177","author":"Fann JI","year":"1993","journal-title":"Surg Gynecol Obstet"},{"key":"bibr3-147323000203000416","first-page":"265","volume":"14","author":"Collins DC","year":"1963","journal-title":"Am J Proctol"},{"key":"bibr4-147323000203000416","doi-asserted-by":"publisher","DOI":"10.1002\/1097-0142(197312)32:6<1525::AID-CNCR2820320632>3.0.CO;2-C"},{"key":"bibr5-147323000203000416","doi-asserted-by":"publisher","DOI":"10.1177\/014107688808101121"},{"key":"bibr6-147323000203000416","doi-asserted-by":"publisher","DOI":"10.1002\/1097-0142(19920715)70:2<396::AID-CNCR2820700205>3.0.CO;2-A"},{"key":"bibr7-147323000203000416","doi-asserted-by":"publisher","DOI":"10.2214\/ajr.144.5.923"},{"key":"bibr8-147323000203000416","doi-asserted-by":"publisher","DOI":"10.1007\/s002619900475"},{"key":"bibr9-147323000203000416","doi-asserted-by":"publisher","DOI":"10.1111\/j.1346-8138.1987.tb03552.x"},{"key":"bibr10-147323000203000416","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9610(68)90238-9"},{"key":"bibr11-147323000203000416","doi-asserted-by":"publisher","DOI":"10.1016\/S0936-6555(05)80801-5"},{"key":"bibr12-147323000203000416","first-page":"392","volume":"139","author":"Aho AJ","year":"1973","journal-title":"Acta Chir Scand"},{"key":"bibr13-147323000203000416","doi-asserted-by":"publisher","DOI":"10.1016\/S0009-9260(99)90687-6"},{"key":"bibr14-147323000203000416","doi-asserted-by":"publisher","DOI":"10.2214\/ajr.173.4.10511181"},{"key":"bibr15-147323000203000416","doi-asserted-by":"publisher","DOI":"10.1016\/S0016-5107(76)73580-6"},{"key":"bibr16-147323000203000416","doi-asserted-by":"publisher","DOI":"10.1002\/dc.2840060311"}],"container-title":["Journal of International Medical Research"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/147323000203000416","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/147323000203000416","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T10:43:29Z","timestamp":1777459409000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/147323000203000416"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2002,8]]},"references-count":16,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2002,8]]}},"alternative-id":["10.1177\/147323000203000416"],"URL":"https:\/\/doi.org\/10.1177\/147323000203000416","relation":{},"ISSN":["0300-0605","1473-2300"],"issn-type":[{"value":"0300-0605","type":"print"},{"value":"1473-2300","type":"electronic"}],"subject":[],"published":{"date-parts":[[2002,8]]}}}