Adenocarcinoma of the appendix: an unusual disease.
OBJECTIVE
To describe our experience with primary appendiceal tumours.


METHODS
Retrospective study.


METHODS
University hospital, Israel.


METHODS
2520 patients who had appendectomies during the 14 years, January 1982-December 1996.


RESULTS
22 patients 5 male and 17 female, mean age 56.2 years, had primary neoplasms; 14 were carcinoid tumours and villous adenomas and were treated by appendicectomy only. Adenocarcinoma was diagnosed in 8 patients (0.3%), 5 after appendicectomy (0.2%) which is twice the reported incidence. They were all treated by right hemicolectomy. Seven of the patients were classified as Dukes' B and one as Dukes' C. All patients were alive and disease-free after a mean follow-up period of 57.4 months.


CONCLUSIONS
Right hemicolectomy is the treatment of choice for adenocarcinoma of the appendix.
Hananel
N
N
Department of Surgery B, Rabin Medical Center, Golda Campus (Hasharon Hospital), Petah-Tikva, Israel.
Powsner
E
E
Wolloch
Y
Y
D000230:Adenocarcinoma / Q000473:pathology / Q000601:surgery*; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001063:Appendiceal Neoplasms / Q000473:pathology / Q000601:surgery*; D003082:Colectomy / Q000379:methods; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D016896:Treatment Outcome