Carcinoid Tumors of the Appendix – Last Decade Experience
Introduction: Carcinoid of the appendix is a rare clinical entity in childhood and usually has a good clinical outcome. The impact of the operative preparations appendix ranges between 0.1-0.9%. The aim of our study is to report the experiences of our department in the management of appendiceal...
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
JCDR Research and Publications Private Limited
2014-11-01
|
| Series: | Journal of Clinical and Diagnostic Research |
| Subjects: | |
| Online Access: | https://jcdr.net/articles/PDF/5151/10694_CE(Ra)_F(Sh)_PF1(SNAK)_PFA(Sh)_PF2(PAG).pdf |
| Summary: | Introduction: Carcinoid of the appendix is a rare clinical entity
in childhood and usually has a good clinical outcome. The
impact of the operative preparations appendix ranges between
0.1-0.9%. The aim of our study is to report the experiences of
our department in the management of appendiceal carcinoid
tumors in children.
Materials and Methods: Data of all patients aged 15 y or
less who underwent appendectomy at the 2nd Department
of Pediatric Surgery of Aristotle University of Thessaloniki
between January 2004 and February 2014 were evaluated for
the existence of appendiceal carcinoid tumors in pathological
specimens. The collected data included: gender, patient’s age,
clinical indications and surgical intervention, tumor localization
in the appendix and the diameter of lesion, histological type of
the tumor and postoperative care (follow up) of patients.
Results: Four cases (3 girls, 1 boy) with carcinoid treated at our
department during a 10 y period. Median patient age was 10.75
y (9- 12 y). In all cases the diagnosis was after appendectomy
on ground of acute appendicitis. A single incident brought
findings of gangrenous appendicitis. In three cases the tumor’s
diameter was smaller than 1cm, while the incident with the
gangrenous appendicitis was larger than 1cm in diameter. In
four cases the tumor was localized at the apex of the appendix
without extending to the surrounding tissues. In all patients with
carcinoid tumor followed a further testing based on specific
monitoring protocol. In no case was residual or metastatic
disease identified and no further treatment was required. No
relapse was observed during follow-up.
Conclusion: Our study confirms the good prognosis of
appendiceal carcinoid. |
|---|---|
| ISSN: | 2249-782X 0973-709X |