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Primary adenocarcinoma of the appendix
D A Evans1, B N Hamid, E M Hoare
1Department of Surgery, Trafford General Hospital, Davyhulme, Manchester, UK.
Journal of the Royal College of Surgeons of Edinburgh
|February 1, 1990
Summary
Primary appendicular adenocarcinoma, a rare cancer, often mimics appendicitis. While right hemicolectomy is preferred, appendicectomy alone showed no survival disadvantage in this study.
Area of Science:
- Gastroenterology
- Surgical Oncology
- Pathology
Background:
- Primary appendicular adenocarcinoma is a rare malignancy.
- It frequently presents with symptoms mimicking acute appendicitis.
- Preoperative or intraoperative diagnosis is uncommon.
Observation:
- This report details thirteen cases of primary appendicular adenocarcinoma.
- Treatment options include appendicectomy alone versus appendicectomy with right hemicolectomy.
- A regional review (1972-1984) indicated a preference for appendicectomy alone.
Findings:
- Appendicular adenocarcinoma diagnosis is often delayed.
- Anatomical considerations suggest right hemicolectomy is preferable.
- However, the additional right hemicolectomy did not demonstrate a clear survival benefit in the observed period.
Implications:
- Further research is needed to establish optimal treatment strategies for appendicular adenocarcinoma.
- Clinical awareness and diagnostic accuracy for this rare tumor should be improved.
- The study questions the routine addition of right hemicolectomy for appendicular adenocarcinoma.