Adenocarcinoma of the Appendix
Loading...
Date
2018-03
Journal Title
Journal ISSN
Volume Title
Publisher
Scientific Research
Abstract
Objective: To report the experience of our department on adenocarcinoma of
the appendix through a series of six (6) cases. Materials and Methods: This is
a retrospective study carried out from January 2010 to June 2015 collating all
cases of adenocarcinoma of the appendix diagnosed at the department of visceral
surgery B in Hassan II University Hospital in Fez. Results: Six cases of
adenocarcinoma of the appendix were recorded during the determined period
of study. The mean age was 54.67 ± 16.99 years with the extreme ages ranging
from 28 to 78 years. There was a female predominance with a sex ratio of 2.
All patients had no specific medical history. The revealing symptoms were the
following: appendicitis syndrome (1 case), bowel obstruction (1 case), psoas
abscess (1 case) and fortuitous discovery during laparotomy for another
problem (3 cases). The following histological types found were: colloid adenocarcinoma
(3 cases), mucinous adenocarcinoma (2 case), mucinous cystadenocarcinoma
associated with a moderately differentiated adenocarcinoma
of the appendix (1 case). The surgical procedure consisted of a right hemicolectomy
in 3 patients. Appendectomy followed by a right hemicolectomy and
drainage of psoas abscess was performed in two patients. Palliative ileocecal
resection and Bouilly-Volkmann ileocolostomy was performed in one patent
who had carcinosis. All patients received adjuvant chemotherapy. The following
occurred during follow-up: carcinosis (2 patients), a locoregional recurrence
(2 patients). Two patients never returned for follow-up. Conclusion:
Tumor of the appendix is a rare and exceptional pathology. These tumors are
generally discovered fortuitously or during histology of appendectomy specimens.
The treatment is usually surgical.
Description
Keywords
Adenocarcinoma, Appendix
Citation
Surgical Science, 2018, 9, 115-121