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Titolo:
NEOPLASTIC LESIONS OF THE APPENDIX
Autore:
DEANS GT; SPENCE RAJ;
Indirizzi:
STEPPING HILL HOSP,STOCKPORT UNIT MINIMALLY INVAS THERAPY STOCKPORT SK2 7JE ENGLAND BELFAST CITY HOSP,DEPT SURG BELFAST BT9 7AD ANTRIM NORTH IRELAND
Titolo Testata:
British Journal of Surgery
fascicolo: 3, volume: 82, anno: 1995,
pagine: 299 - 306
SICI:
0007-1323(1995)82:3<299:NLOTA>2.0.ZU;2-#
Fonte:
ISI
Lingua:
ENG
Soggetto:
PRIMARY MUCINOUS CYSTADENOCARCINOMA; ABDOMINAL CARCINOID-TUMORS; GOBLET CELL CARCINOIDS; PSEUDOMYXOMA PERITONEI; VERMIFORM APPENDIX; SOMATOSTATIN ANALOG; NEUROENDOCRINE TUMORS; PRIMARY ADENOCARCINOMA; RECOMBINANT INTERFERON-ALPHA-2A; COMPUTED-TOMOGRAPHY;
Tipo documento:
Review
Natura:
Periodico
Settore Disciplinare:
Science Citation Index Expanded
Citazioni:
161
Recensione:
Indirizzi per estratti:
Citazione:
G.T. Deans e R.A.J. Spence, "NEOPLASTIC LESIONS OF THE APPENDIX", British Journal of Surgery, 82(3), 1995, pp. 299-306

Abstract

Neoplasms occur in 0 . 5 per cent of appendices. Ultrasonography or computed tomography is beneficial, but preoperative detection is rare. At operation, the diagnosis is considered in under half of cases. Mucocele, localized pseudomyxoma peritonei, benign tumours and most appendiceal carcinoids are cured by appendicectomy alone. Right hemicolectomy is indicated for: (1) invasive adenocarcinoma; (2) tumours close to the caecum; (3) lesions larger than 2 cm; (4) mucin production; (5) invasion of the lymphatics, serosa or mesoappendix; and (6) cellular pleomorphism with a high mitotic rate: Tumours of 1-2 cm, small mucinous carcinoids, adenocarcinoma confined to the mucosa, and tumours in children may be treated by appendicectomy alone at the surgeon's discretion. The 5-year survival rate associated with classical carcinoid is more than 90 per cent. The prognosis of mucinous carcinoid is intermediate between that of classical carcinoid and well differentiated adenocarcinoma. The prognosis of adenocarcinoma is determined by Dukes' stage and is similar, stage for stage, to that of colorectal carcinoma.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 29/11/20 alle ore 17:40:33