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Carcinoid tumour of the appendix

Goede, AC; Caplin, ME; Winslet, MC; (2003) Carcinoid tumour of the appendix. BRIT J SURG , 90 (11) 1317 - 1322. 10.1002/bjs.4375.

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Background: Appendiceal carcinoid tumours are found in 0.3-0.9 per cent of patients undergoing appendicectomy. Controversy exists over the management following appendicectomy, especially with regard to the role of right hemicolectomy in patients with tumours smaller than 2 cm in diameter.Methods and results: The literature pertaining to the behaviour of appendiceal carcinoids was reviewed in order to formulate indications for right hemicolectomy. Metastatic disease from appendiceal carcinoids is a rare occurrence, but is more common when lesions are larger than 2 cm in diameter. The risk-benefit balance of right hemicolectomy needs to be better defined, and an improved understanding of tumour cell biology may aid prognostic accuracy and decision-making.Conclusion: There is limited evidence on which to base clear indications for right hemicolectomy in patients with a diagnosis of appendiceal carcinoid. Acceptable indications are carcinoids larger than 2 cm in size, any high-grade malignant carcinoid (including those with a high mitotic index), mesoappendiceal invasion, lesions at the base of the appendix with tumour-positive margins, and goblet cell adenocarcinoid tumours.

Type: Article
Title: Carcinoid tumour of the appendix
DOI: 10.1002/bjs.4375
URI: http://discovery.ucl.ac.uk/id/eprint/125772
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