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[Carcinoids of the appendix]

J Belácek1, S Cársky, M Schnorrer

  • 1Chirurgická klinika DNsP, Bratislava.

Rozhledy V Chirurgii : Mesicnik Ceskoslovenske Chirurgicke Spolecnosti
|March 1, 1995
PubMed
Summary
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Appendiceal carcinoids under 2 cm, treated with appendectomy and mesoappendix removal, have a good prognosis with 100% five-year survival. Advanced tumors with liver secondaries require comprehensive treatment, yielding a one-third five-year survival rate.

Area of Science:

  • Gastroenterology
  • Oncology
  • Surgical Pathology

Context:

  • This study examines appendiceal carcinoid tumors, focusing on diagnosis and treatment strategies.
  • Clinical data from six patients treated between 1988 and 1993 at Dérer's Hospital in Bratislava were analyzed.

Purpose:

  • To discuss the diagnosis and treatment of clinically silent appendiceal carcinoids (less than 2 cm).
  • To evaluate the prognosis associated with different stages of appendiceal carcinoid tumors.

Summary:

  • Appendectomy and mesoappendix removal are effective for small, silent appendiceal carcinoids (< 2 cm), resulting in a 100% five-year survival rate.
  • The carcinoid syndrome indicates advanced disease or liver metastases, necessitating comprehensive treatment including surgery, metastasectomy, and chemotherapy, with a one-third five-year survival rate.

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Impact:

  • Highlights the favorable outcomes for early-stage appendiceal carcinoids.
  • Emphasizes the critical role of multimodal therapy in managing advanced carcinoid syndrome with liver involvement.