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Carcinoid of the Appendix: An Incidental Finding in an Appendisectomy Specimen

Authors: Akhtar, Shamim; Maimoon, Sabiha; Patrikar, Anjali; Hrishkesh Kolhe;

Carcinoid of the Appendix: An Incidental Finding in an Appendisectomy Specimen

Abstract

{"references": ["1. Tchana-Sato V, Detry O, Polus M, Thiry A, Detroz B, Maweja S, Hamoir E, Defechereux T, Coimbra C, De Roover A, Meurisse M, Honor\u00e9 P. Carcinoid tumor of the appendix; a consecutive series from 1237 appendectomies.World J Gasrtoenterol 2006;12(41): 6699-1.", "2. Connor SJ, Hanna GB, Frizelle FA. Appendiceal tumors. Dis Colon Rectum 1998;41:75-0.", "3. Parkes SE, Muir KR, al Sheyyab M, Cameron AH, Pincott JR, Raafat F, et al. Carcinoid tumors of the appendix in children 1957\u20131986: incidence, treatment and outcome. Br J Surg 1993;80:502-4.", "4. Moertel CL, Weiland LH, Telander RL. Carcinoid tumors of the appendix in the first two decades of life. J Pediatr Surg 1990; 25:1073-5.", "5. Willox SW. Carcinoid tumor of the appendix in childhood. Br J Surg 1964; 51:110-3.", "6. D'Aleo C, Lazzareschi I, Ruggiero A, Riccardi R. Carcinoid tumors of the appendix in children: Two reports and review of the Literature. Pediatr Hematol Oncol 2001;18:347-1.", "7. Prommegger R, Obrist P, Ensinger C, Profanter C, Mittermair R, Hager J. Retrospective evaluation of carcinoid tumors of the appendix in children.World J Surg 2002;1489-2.", "8. Markgraft WH, Dunn TM. Appedical carcinoid with carcinoid syndrome.Am J Surg 1964;107:730-32", "9. Barakat AJ, Reese D, Menezes G. Carcinoid tumor of the appendix in children: a reminder. Case Rep Clin Pract Rev 2003;4:69-72", "10. D'adda T, Pizzi S, Azzoni C, Bottarelli L, Crafa P, Pasquali C, et al. Different patterns of 11q allelic losses in digestive endocrine tumors. Hum Pathol 2002;33:322- 29"]}

Carcinoids are the most common tumors of the appendix. The prevalence of these tumors is more in children. Clinically appendiceal carcinoids present as acute appendicitis, although in many cases the tumor is diagnosed incidentally during an operation. The diagnosis is confirmed on histology. The prognosis in patients with local disease is excellent. In small lesions, ‘Isolated Appendicectomy’ is considered as the most appropriate treatment, while in larger lesions ‘Right Colectomy’ should be performed. We report a case of a carcinoid tumor appendix measuring 0.7 cm in diameter, in a 21 year old female, which was diagnosed on histology. Appendicectomy was done with a clinical diagnosis of ‘Acute Appendicitis’. Carcinoid tumor was incidentally diagnosed on histology. The patient is considered free of disease as the prognosis of tumor less than 2cm local is excellent.

Keywords

morbidity, carcinoid tumor, appendix, mortality

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