[Appendiceal carcinoid tumor of systematic detection. When to propose right hemi-colectomy and how to monitor? Thoughts apropos of a case and review of the literature].
In relation to a case of carcinoid tumor of the appendix discovered after appendectomy and already metastatic, we discuss the prognostic factors of these lesions. Size is the most important one. For tumors less than two centimetres diameter, site, mesoappendix and lymph node involvement do not fully summarize the aggressiveness of the disease. We would like to emphasize the poor prognosis of perineural involvement, especially for young patients, in order to discuss the indication for salvage right colectomy. A positive reaction to Neuron-Specific Enolase allows this enzyme to be proposed as a postoperative serum marker.
Rouanet
P
P
Service de Chirurgie, Centre Val d'Aurelle, Montpellier.
Saingra
B
B
Quénet
F
F
Régnier
J J
JJ
Simony-Lafontaine
J
J
Pujol
H
H
D000328:Adult; D001063:Appendiceal Neoplasms / Q000175:diagnosis / Q000601:surgery*; D002276:Carcinoid Tumor / Q000175:diagnosis / Q000601:surgery*; D003082:Colectomy / Q000379:methods*; D006801:Humans; D007150:Immunohistochemistry; D008207:Lymphatic Metastasis; D008297:Male; D008991:Monitoring, Physiologic; D011379:Prognosis
Carcinoïde appendiculaire de découverte systématique. Quand proposer une hémi-colectomie droite et comment surveiller? Réflexions à propos d'un cas et revue de la littérature.