Metastatic carcinoid tumor of the appendixReport of a case and review of the literature
作者:
Richard Thirlby,
Candace Kasper,
Ronald Jones,
期刊:
Diseases of the Colon & Rectum
(OVID Available online 1984)
卷期:
Volume 27,
issue 1
页码: 42-46
ISSN:0012-3706
年代: 1984
出版商: OVID
关键词: Carcinoid;Appendix;Metastatic
数据来源: OVID
摘要:
&NA;A case of regional metastatic carcinoid of the appendix is presented and the literature reviewed for indications for right colectomy. Five cases of lymph‐node metastasis from primary appendiceal carcinoids less than 2 cm in diameter have been reported. There is no reported case of systemic metastasis occurring after appendectomy for a carcinoid with a diameter of less than 2 cm. Perineural involvement, lymphatic invasion, mesoappendiceal invasion, histologic appearance, and location of the tumor in the appendix seem to be unreliable predictors of clinically significant regional node involvement. It is concluded that a right colectomy is indicated only in patients with carcinoid tumors of the appendix 2 cm or more in diameter, or with residual tumor at the margin of resection.
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