#PAGE_PARAMS# #ADS_HEAD_SCRIPTS# #MICRODATA#

Rare causes of acute appendicitis


Authors: I. Říha 1;  V. Třeška 1;  J. Nosek 1;  D. Šmíd 2;  R. Slunečko 3
Authors‘ workplace: Chirurgická klinika Fakultní nemocnice Plzeň a Lékařská fakulta Univerzity Karlovy v Plzni 1;  Anesteziologicko-resuscitační oddělení Fakultní nemocnice Plzeň 2;  Šiklův ústav patologie, Univerzita Karlova v Plzni 3
Published in: Rozhl. Chir., 2019, roč. 98, č. 5, s. 189-193.
Category: Review

Overview

Introduction:

A clinical diagnosis of acute appendicitis does not necessarily imply only inflammatory changes found upon histopathological examination. Even though appendiceal tumors are very rare, accounting for less than 4% of all gastrointestinal tumors‚ they need to be taken into account and require the right choices regarding subsequent onco-surgical management.

Methods:

1036 appendectomies were performed and 38 (3.7%) rare appendiceal tumor cases were identified at the department of Surgery in Pilsen from 1 January 2008 to 1 October 2018. The following text presents the difficult nature of the initial diagnosis, current therapy and principles of follow-up care in this relatively rare group of patients.

Conclusion:

Appendiceal tumors are very rare. Depending on the histopathological type of tumor, it is necessary to choose adequate therapy and also provide proper follow up care.

Keywords:

diagnosis – appendiceal tumors – follow-up


Sources
  1. Marmor S, Portschy PR, Tuttle TM, et al. The rise in appendiceal cancer incidence: 2000−2009. J Gastrointest Surg. 2015;19:743−50. doi: 10.1007/s11605-014-2726-7
  2. Ruoff C, Hanna L, Zhi W, et al. Cancers of the appendix: Review of the literatures. ISRN Oncol. 2011;on-line. doi: 10.5402/2011/728579.
  3. Grubbs EG, Tyler DS. Tumors of the appendix. In: Holland-frei cancer medicine. 6th edition. Editors Kufe DW, Pollock RE, Weichsealbum RR, et al., Hamilton (ON), BC Decker 2003.
  4. Kelly KJ. Management of appendix cancer. Clin Colon Surg. 2015;28:247−55. doi: 10.1055/s-0035-1564433.
  5. Stinner B, Rothmund M. Neuroendocrine tumours (carcinoids) of the appendix. Best Pract Clin Gastroenterol. 2005;19:729−38. doi: 10.1016/j.bpg.2005.06.003.
  6. Chung TP, Hunt RS. Carcinoid and neuroendocrine tumors of the colon and rectum. Clin Colon Rectal Surg. 2006;19:45−8. doi: 10.1055/s-2006-942343.
  7. Anastasiadis K, Kepertis Ch. Lampropoulos V. carcinoid tumors of the appendix – last decade experience. J Clin Diagn Res. 2014;8:NC01−NC02. doi: 10.7860/JCDR/2014/10694.5151.
  8. Chun JM, Lim KH. Gastrointestinal stromal tumor of the vermiform appendix mimicking Meckel’s diverticulum: Case report with literature review. Int J Surg Case Rep. 2016;21:20−2.
  9. Lasota J., Miettinen M. KIT and PDGFRA mutations on gastrointestinal stromal tumors (GISTs). Semin Diagn Pathol. 2006;23:91−102.
  10. Miettinen M, Sobin LH. Gastrointestinal stromal tumors in the appendix: a clinicopathologic and immunohistochemical study of four cases. Am J Surg Pathol. 2001;25:1433−7.
  11. Balachandran RP, DeMatteo VP. GIST tumors: Who should get imatinib and for how long? Adv Surg. 2014;48:165−83. doi: 10.1016/j.yasu.2014.05.014.
Labels
Surgery Orthopaedics Trauma surgery
Login
Forgotten password

Enter the email address that you registered with. We will send you instructions on how to set a new password.

Login

Don‘t have an account?  Create new account

#ADS_BOTTOM_SCRIPTS#