Primary Carcinoma of the Appendix

Vol. 22, No. 3, 2005

Free Abstract Article (Fulltext) Article (PDF 83 KB)

Original Paper

Primary Carcinoma of the Appendix - Hull Series
O.C. Iwuagwu, J.K.A. Jameel, P.J. Drew, J.E. Hartley, J.R.T. Monson

The University of Hull Academic Surgical Unit, Castle Hill Hospital, Cottingham, UK

Address of Corresponding Author

Dig Surg 2005;22:163-167 (DOI: 10.1159/000087134)

Key Words

Primary appendiceal carcinoma
Cancer
Appendix

Abstract

Background: Appendiceal carcinoma (AC) is a rare entity that does not have a well-defined treatment strategy. At presentation, most patients are clinically thought to have appendicitis and the diagnosis is made only by formal histology. Once the diagnosis of AC is made, patients are treated by various strategies including surgery, chemotherapy depending on nodal status of the disease. Aim: To review the Hull hospitals' experience with AC. Methods: Between 1982 and 2002, 10 patients with primary AC were seen. The histopathology reports of all appendiceal specimens removed were traced. Follow-up was by chart review or patient follow-up as appropriate. We did not include patients with primary carcinoid tumours or secondary adenocarcinoma. Results: There was an equal sex distribution. All patients underwent surgery, 3 had post-operative chemotherapy. Complete follow-up information was available with a median follow-up time of 56 months, with a range of 12-168 months. Five patients survived at least 4 years from the time of diagnosis. Conclusion: Long-term survival in patients with AC is possible.

Author Contacts

Prof. J.R.T. Monson
Academic Surgical Unit, Castle Hill Hospital
Cottingham HU16 5JQ (UK)
Tel. +44 1482 623225, Fax +44 1482 623274
E-Mail J.R.Monson@hull.ac.uk

Article Information

Received: August 4, 2004
Accepted: January 17, 2005
Published online: July 20, 2005
Number of Print Pages : 5
Number of Figures : 0, Number of Tables : 1, Number of References : 27

Medline Abstract (ID 16037676)

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