Appendiceal mucocele. a retrospective analysis of 19 cases

Appendiceal mucocele is an infrequent well-recognized entity that can present in a variety of clinical syndromes or can be asymptomatic and discovered incidentally. Nineteen patients with a diagnosis of primary appendiceal mucocele treated in our institution between January 1, 1987 and December 31,...

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Bibliographic Details
Published in:Journal of gastrointestinal cancer 2007-12, Vol.38 (2-4), p.141-147, Article 141
Main Authors: Papaziogas, B, Koutelidakis, I, Tsiaousis, P, Goula, O C, Lakis, S, Atmatzidis, S, Makris, J, Paraskevas, G, Atmatzidis, K
Format: Article
Language:English
Subjects:
Adolescent
Adult
Aged
Aged, 80 and over
Appendectomy
Appendiceal Neoplasms - pathology
Appendiceal Neoplasms - surgery
Appendix - pathology
Cecal Diseases - pathology
Colectomy
Cystadenocarcinoma, Mucinous - pathology
Cystadenocarcinoma, Mucinous - surgery
Cystadenoma - pathology
Cystadenoma - surgery
Female
Humans
Middle Aged
Mucocele - pathology
Mucocele - surgery
Prognosis
Retrospective Studies
Treatment Outcome
Young Adult
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Summary:Appendiceal mucocele is an infrequent well-recognized entity that can present in a variety of clinical syndromes or can be asymptomatic and discovered incidentally. Nineteen patients with a diagnosis of primary appendiceal mucocele treated in our institution between January 1, 1987 and December 31, 2006 were included in this retrospective analysis. The histological examination of the specimens revealed simple and hyperplastic appendiceal mucocele in nine cases (47%), mucinous appendiceal cystadenoma in eight cases (42%), and mucinous appendiceal cystadenocarcinoma in two cases (11%). Thirteen patients (68%) underwent appendectomy, five patients (26%) right colectomy, and two patients (6%) underwent right colectomy for invasive appendiceal cystadenocarcinoma and at the same time right nephrectomy and sigmoidectomy, respectively, for concomitant malignancy. Mucocele of the appendix may be related to a benign or malignant appendiceal process, leading to individualized diagnosis and treatment.
ISSN:1941-6628
1941-6636
DOI:10.1007/s12029-008-9030-2