دورية أكاديمية

Hemicolectomy versus appendectomy for patients with appendiceal neuroendocrine tumours 1-2 cm in size. a retrospective, Europe-wide, pooled cohort study

التفاصيل البيبلوغرافية
العنوان: Hemicolectomy versus appendectomy for patients with appendiceal neuroendocrine tumours 1-2 cm in size. a retrospective, Europe-wide, pooled cohort study
المؤلفون: Nesti, Cédric, Bräutigam, Konstantin, Benavent, Marta, Bernal, Laura, Boharoon, Hessa, Botling, Johan, Bouroumeau, Antonin, Brcic, Iva, Brunner, Maximilian, Cadiot, Guillaume, Camara, Maria, Christ, Emanuel, Clerici, Thomas, Clift, Ashley K, Clouston, Hamish, Cobianchi, Lorenzo, Ćwikła, Jarosław B, Daskalakis, Kosmas, Frilling, Andrea, Garcia-Carbonero, Rocio, Grozinsky-Glasberg, Simona, Hernando, Jorge, Hervieu, Valérie, Hofland, Johannes, Holmager, Pernille, Inzani, Frediano, Jann, Henning, Jimenez-Fonseca, Paula, Kaçmaz, Enes, Kaemmerer, Daniel, Kaltsas, Gregory, Klimacek, Branislav, Knigge, Ulrich, Kolasińska-Ćwikła, Agnieszka, Kolb, Walter, Kos-Kudła, Beata, Kunze, Catarina Alisa, Landolfi, Stefania, Rosa, Stefano La, López, Carlos López, Lorenz, Kerstin, Matter, Maurice, Mazal, Peter, Mestre-Alagarda, Claudia, Del Burgo, Patricia Morales, van Dijkum, Els J M Nieveen, Oleinikov, Kira, Orci, Lorenzo A, Panzuto, Francesco, Pavel, Marianne, Perrier, Marine, Reims, Henrik Mikael, Rindi, Guido, Rinke, Anja, Rinzivillo, Maria, Sagaert, Xavier, Satiroglu, Ilker, Selberherr, Andreas, Siebenhüner, Alexander R, Tesselaar, Margot E T, Thalhammer, Michael J, Thiis-Evensen, Espen, Toumpanakis, Christos, Vandamme, Timon, van den Berg, José G, Vanoli, Alessandro, van Velthuysen, Marie-Louise F, Verslype, Chris, Vorburger, Stephan A, Lugli, Alessandro, Ramage, John, Zwahlen, Marcel, Perren, Aurel, Kaderli, Reto M
المساهمون: Nesti, Cédric, Bräutigam, Konstantin, Benavent, Marta, Bernal, Laura, Boharoon, Hessa, Botling, Johan, Bouroumeau, Antonin, Brcic, Iva, Brunner, Maximilian, Cadiot, Guillaume, Camara, Maria, Christ, Emanuel, Clerici, Thoma, Clift, Ashley K, Clouston, Hamish, Cobianchi, Lorenzo, Ćwikła, Jarosław B, Daskalakis, Kosma, Frilling, Andrea, Garcia-Carbonero, Rocio, Grozinsky-Glasberg, Simona, Hernando, Jorge, Hervieu, Valérie, Hofland, Johanne, Holmager, Pernille, Inzani, Frediano, Jann, Henning, Jimenez-Fonseca, Paula, Kaçmaz, Ene, Kaemmerer, Daniel, Kaltsas, Gregory, Klimacek, Branislav, Knigge, Ulrich, Kolasińska-Ćwikła, Agnieszka, Kolb, Walter, Kos-Kudła, Beata, Kunze, Catarina Alisa, Landolfi, Stefania, Rosa, Stefano La, López, Carlos López, Lorenz, Kerstin, Matter, Maurice, Mazal, Peter, Mestre-Alagarda, Claudia, Del Burgo, Patricia Morale, van Dijkum, Els J M Nieveen, Oleinikov, Kira, Orci, Lorenzo A, Panzuto, Francesco, Pavel, Marianne, Perrier, Marine, Reims, Henrik Mikael, Rindi, Guido, Rinke, Anja, Rinzivillo, Maria, Sagaert, Xavier, Satiroglu, Ilker, Selberherr, Andrea, Siebenhüner, Alexander R, Tesselaar, Margot E T, Thalhammer, Michael J, Thiis-Evensen, Espen, Toumpanakis, Christo, Vandamme, Timon, van den Berg, José G, Vanoli, Alessandro, van Velthuysen, Marie-Louise F, Verslype, Chri, Vorburger, Stephan A, Lugli, Alessandro, Ramage, John, Zwahlen, Marcel, Perren, Aurel, Kaderli, Reto M
بيانات النشر: Elsevier Ltd.
سنة النشر: 2023
المجموعة: Sapienza Università di Roma: CINECA IRIS
مصطلحات موضوعية: appendix, neuroendocrine tumour, surgery, hemicolectomy, metastasi, survival
الوصف: Background: Awareness of the potential global overtreatment of patients with appendiceal neuroendocrine tumours (NETs) of 1-2 cm in size by performing oncological resections is increasing, but the rarity of this tumour has impeded clear recommendations to date. We aimed to assess the malignant potential of appendiceal NETs of 1-2 cm in size in patients with or without right-sided hemicolectomy. Methods: In this retrospective cohort study, we pooled data from 40 hospitals in 15 European countries for patients of any age and Eastern Cooperative Oncology Group performance status with a histopathologically confirmed appendiceal NET of 1-2 cm in size who had a complete resection of the primary tumour between Jan 1, 2000, and Dec 31, 2010. Patients either had an appendectomy only or an appendectomy with oncological right-sided hemicolectomy or ileocecal resection. Predefined primary outcomes were the frequency of distant metastases and tumour-related mortality. Secondary outcomes included the frequency of regional lymph node metastases, the association between regional lymph node metastases and histopathological risk factors, and overall survival with or without right-sided hemicolectomy. Cox proportional hazards regression was used to estimate the relative all-cause mortality hazard associated with right-sided hemicolectomy compared with appendectomy alone. This study is registered with ClinicalTrials.gov, NCT03852693. Findings: 282 patients with suspected appendiceal tumours were identified, of whom 278 with an appendiceal NET of 1-2 cm in size were included. 163 (59%) had an appendectomy and 115 (41%) had a right-sided hemicolectomy, 110 (40%) were men, 168 (60%) were women, and mean age at initial surgery was 36·0 years (SD 18·2). Median follow-up was 13·0 years (IQR 11·0-15·6). After centralised histopathological review, appendiceal NETs were classified as a possible or probable primary tumour in two (1%) of 278 patients with distant peritoneal metastases and in two (1%) 278 patients with distant metastases in ...
نوع الوثيقة: article in journal/newspaper
اللغة: English
العلاقة: info:eu-repo/semantics/altIdentifier/pmid/36640790; info:eu-repo/semantics/altIdentifier/wos/WOS:000989740800001; volume:24; issue:2; firstpage:1; lastpage:8; numberofpages:8; journal:THE LANCET ONCOLOGY; https://hdl.handle.net/11573/1664848Test; info:eu-repo/semantics/altIdentifier/scopus/2-s2.0-85147216678
DOI: 10.1016/S1470-2045(22)00750-1
الإتاحة: https://doi.org/10.1016/S1470-2045Test(22)00750-1
https://hdl.handle.net/11573/1664848Test
حقوق: info:eu-repo/semantics/closedAccess
رقم الانضمام: edsbas.70535E44
قاعدة البيانات: BASE