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Appendiceal mucocele. a retrospective analysis of 19 cases

B Papaziogas1, I Koutelidakis, P Tsiaousis

  • 1Second Department of Surgery, Aristotle University of Thessaloniki Medical School, Fanariou str. 16, 551 33, Thessaloniki, Greece. papaziog@med.auth.gr

Journal of Gastrointestinal Cancer
|December 18, 2008
PubMed
Abstract

Insights

Appendiceal mucocele, a rare appendix condition, can be benign or malignant. Histopathology reveals various types, necessitating individualized treatment approaches based on diagnosis.

Area of Science:

  • Gastroenterology
  • Surgical Pathology
  • Oncology

Background:

  • Appendiceal mucocele is an uncommon condition with diverse clinical presentations.
  • It can be asymptomatic and discovered incidentally during imaging or surgery.

Purpose of the Study:

  • To analyze the clinicopathological features and treatment outcomes of primary appendiceal mucocele.
  • To determine the prevalence of benign and malignant appendiceal mucinous lesions.

Main Methods:

  • Retrospective analysis of 19 patients diagnosed with primary appendiceal mucocele.
  • Data collected from January 1, 1987, to December 31, 2006.
  • Review of histological examinations and treatment records.

Main Results:

  • Histology revealed simple/hyperplastic mucocele (47%), cystadenoma (42%), and cystadenocarcinoma (11%).
  • Appendectomy was performed in 68% of patients; right colectomy in 26%.
  • Two patients required extensive surgery for invasive appendiceal cystadenocarcinoma and concomitant malignancies.

Conclusions:

  • Appendiceal mucocele encompasses a spectrum from benign to malignant processes.
  • Diagnosis and treatment must be individualized based on the specific pathological findings.

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