Incidental neuroendocrine tumor of the appendiceal base less than20 mm in diameter: is appendectomy enough?

Pan Afr Med J. 2015 Oct 6:22:102. doi: 10.11604/pamj.2015.22.102.6548. eCollection 2015.

Abstract

The appendixis the second primary site for neuroendocrine tumors. The management of incidentelly discovered neuroendocrine tumor of the appendiceal base less than 20 mm in diameter is still controversal. The aim of this study was to discuss the management of such tumors. Three patients were operated on for acute appendicitis. Histopathologic examination of surgery specimens revealed neuroendocrine tumors of the appendiceal base less than 20 mm in diameter. Since no one presented with poor prognostic factors, no complementary right hemicolectomy was performed. No recurrence was observed. The existence of poorprognostic factors at histopathologic examination should indicate complementary right hemicolectomy for incidental neuroendocrine tumor of the appendiceal base less than 20 mm in diameter.

Keywords: Neuroendocrine tumors; appendix; treatment.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Appendectomy / methods*
  • Appendiceal Neoplasms / diagnosis
  • Appendiceal Neoplasms / pathology
  • Appendiceal Neoplasms / surgery*
  • Appendicitis / diagnosis
  • Appendicitis / pathology
  • Appendicitis / surgery
  • Appendix / pathology
  • Appendix / surgery
  • Female
  • Humans
  • Incidental Findings
  • Male
  • Middle Aged
  • Neuroendocrine Tumors / diagnosis
  • Neuroendocrine Tumors / pathology
  • Neuroendocrine Tumors / surgery*
  • Prognosis