Outcome of Appendicectomies at Surgery for Mucinous Ovarian Neoplasms: Report From A UK Center and Review of Literature
| Autor: | Owen Heath, Thomas Ind, Jayson Wang, Debjani Mukhopadhyay, James Dilley, Desmond P.J. Barton, Ramzi Rajab, Marielle Nobbenhuis |
|---|---|
| Rok vydání: | 2016 |
| Předmět: |
Adult
Serrated adenoma medicine.medical_specialty Appendix 03 medical and health sciences Ovarian tumor 0302 clinical medicine medicine Appendectomy Humans Pseudomyxoma peritonei Longitudinal Studies Aged Neoplasm Staging Retrospective Studies Ovarian Neoplasms 030219 obstetrics & reproductive medicine business.industry Obstetrics and Gynecology Histology Retrospective cohort study Middle Aged medicine.disease Adenocarcinoma Mucinous Appendicitis Surgery medicine.anatomical_structure Oncology 030220 oncology & carcinogenesis Female Case note business |
| Zdroj: | International Journal of Gynecologic Cancer. 26:1020-1026 |
| ISSN: | 1525-1438 1048-891X |
| Popis: | ObjectiveThis study aimed to determine the frequency of malignant pathology in a macroscopically normal appendix during surgery for a borderline or malignant mucinous ovarian tumor (MOT).MethodsWomen with borderline and malignant MOT were identified from the pathology database from 2000 to 2014. Women who had a benign MOT and had an appendicectomy were excluded from the study. Data were collected from the electronic patient record and case notes.ResultsOf 310 women identified with MOT, 203 patients with benign MOT were excluded. Of the remaining 107 patients, 15 patients with previous appendicectomy were also excluded. The study population consisted of 92 patients. There were 57 (62%) patients with borderline MOT and 35 (38%) patients with malignant MOT. In the borderline subgroup, 40/57 (70%) patients had appendicectomy of whom 8 (20%) had macroscopically abnormal appendices. One patient had pseudomyxoma peritonei secondarily involving the appendix and 7 patients had a histologically normal appendix. Normal histology was found in all macroscopically normal appendices. In the malignant subgroup, 29/35 (83%) patients had an appendicectomy. There were 8 (27.5%) macroscopically abnormal appendices with a malignant pathology in 7 (87.5%) patients and 1 patient had a resolving appendicitis. There were 21 macroscopically normal appendices of which, serrated adenoma was found in 1 (4.8%) patient, whereas the remaining 20 (95.2%) patients had normal histology.ConclusionsIn MOT, an abnormal appearing appendix should be excised. If the appendix is grossly normal, our data do not support performing an appendicectomy as part of a surgical staging procedure. |
| Databáze: | OpenAIRE |
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