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Primary appendiceal adenocarcinoma.

M G Schlatter, T K McKone, D J Scholten

    The American Surgeon
    |August 1, 1987
    PubMed
    Summary
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    Primary appendiceal adenocarcinoma is rare. This review of 23 cases suggests localized, well-differentiated tumors have a good prognosis, with appendectomy potentially sufficient treatment.

    Area of Science:

    • Gastroenterology
    • Surgical Oncology

    Background:

    • Primary appendiceal adenocarcinoma is an exceptionally rare malignancy.
    • Fewer than 300 cases have been reported in medical literature.

    Purpose of the Study:

    • To review clinical presentations, surgical findings, treatments, and survival outcomes for primary appendiceal adenocarcinoma.
    • To identify prognostic factors influencing patient survival.

    Main Methods:

    • Retrospective review of 23 cases of appendiceal adenocarcinoma treated at Butterworth Hospital between 1968 and 1985.
    • Analysis of clinical data, operative findings, treatment modalities, and patient survival lengths.

    Main Results:

    • Common presentations included acute appendicitis and abdominal distention; frequently an incidental finding during surgery.

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  • Prognosis was strongly correlated with tumor grade and invasiveness; localized, well-differentiated tumors showed improved survival.
  • Appendectomy was sufficient for localized, well-differentiated, mucus-secreting adenocarcinomas, with no recurrence or death from disease.

    • Conclusions:

    • Tumor grade is the most critical prognostic factor for appendiceal adenocarcinoma.
    • Appendectomy may be adequate treatment for early-stage, well-differentiated appendiceal adenocarcinoma.
    • Aggressive disease (poorly differentiated tumors) led to widespread carcinomatosis and mortality.