What is the optimum post treatment surveillance imaging protocol for low-grade appendiceal mucinous neoplasms and...

Area of Science:

• Gastroenterology
• Surgical Oncology
• Radiology

Background:

• Appendiceal mucinous neoplasms are rare tumors.
• These neoplasms can lead to pseudomyxoma peritonei (PMP), a disseminated peritoneal disease.
• Current follow-up imaging protocols for PMP and post-appendicectomy mucinous tumors lack standardization.

Purpose of the Study:

• To review existing evidence on imaging surveillance for patients with appendiceal mucinous neoplasms and PMP.
• To identify the optimal post-resection imaging follow-up protocol.

Main Methods:

• Systematic review of available literature on imaging surveillance in PMP and appendiceal mucinous neoplasm patients.
• Analysis of studies evaluating different imaging modalities and follow-up schedules.
• Synthesis of evidence to guide protocol development.

Main Results:

• Evidence for optimal imaging surveillance is limited and requires further investigation.
• Standardized protocols are crucial for early detection of recurrence and PMP development.
• Multidisciplinary expert consensus is needed to establish definitive guidelines.

Conclusions:

• There is a need for evidence-based imaging surveillance protocols for patients treated for appendiceal mucinous neoplasms and PMP.
• Further research is required to determine the most effective imaging modalities and follow-up intervals.
• Establishing optimal protocols will improve patient outcomes and resource utilization.