دورية أكاديمية
EP.FRI.247 Incidence and diversity of the primary appendiceal tumours in patients presenting with acute appendicitis: Our Experience
| العنوان: | EP.FRI.247 Incidence and diversity of the primary appendiceal tumours in patients presenting with acute appendicitis: Our Experience |
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| المؤلفون: | Aspari, Ajay, Ayantunde, Bolu, Ayantunde, Abraham |
| المصدر: | British Journal of Surgery ; volume 108, issue Supplement_7 ; ISSN 0007-1323 1365-2168 |
| بيانات النشر: | Oxford University Press (OUP) |
| سنة النشر: | 2021 |
| مصطلحات موضوعية: | Surgery |
| الوصف: | Background Primary appendiceal tumours are rare. Our experience with the incidental primary appendiceal tumours and their histological diversity. Patients and Method Operative and pathological databases of appendicectomies for presumed diagnosis of acute appendicitis between January 2015 and December 2020 were interrogated. Clinicopathological data were collected and analysed to present the incidence of primary appendiceal tumours, histopathological diversity and outcomes. Results 1908 appendicectomies were performed over the study period. 22 patients with primary appendiceal tumours (incidence rate 1.2%) had a mean age of 45.6(15-97) years and M:F ratio of 1:1.2. Only six patients (27.3%) had appendiceal tumour suspected either before or during surgery. 91% of the patients underwent laparoscopic appendicectomy. Right hemicolectomy was performed as the first intervention and further surgical procedure in 1 and 5 patients respectively. Histological tumour types included carcinoid(10), adenocarcinoma(4), low grade appendiceal mucinous neoplasm(4) mucinous adenocarcinoma & carcinoid(1), goblet cell carcinoid(2) and dysplastic serrated polyp(1). Tumours were located at the tip(10), body(10) and base(2). Median tumour size was 13(2.0-55.0) mm. Median hospital stay was 1.5(0-25) days. The mean survival was 30.9(2.80-73.70) months. Disease related death was a 97-year-old lady with a T4 adenocarcinoma and peritoneal disease who stayed for 25 days and offered palliative supports post appendicectomy. Conclusion Primary appendiceal tumours are diverse in histological types and are of varying prognosis. Appendicectomy alone seemed to be adequate in most cases with early-stage disease. Further surgery such as right hemicolectomy was required for adenocarcinoma and other high-grade tumours. |
| نوع الوثيقة: | article in journal/newspaper |
| اللغة: | English |
| DOI: | 10.1093/bjs/znab312.044 |
| الإتاحة: | https://doi.org/10.1093/bjs/znab312.044Test https://academic.oup.com/bjs/article-pdf/108/Supplement_7/znab312.044/50759477/znab312.044.pdfTest |
| حقوق: | https://academic.oup.com/journals/pages/open_access/funder_policies/chorus/standard_publication_modelTest |
| رقم الانضمام: | edsbas.54779D37 |
| قاعدة البيانات: | BASE |
| DOI: | 10.1093/bjs/znab312.044 |
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