title: Carcinoid tumor of the appendix: a consecutive series from 1237 appendectomies.
abstract: OBJECTIVE
  To report the experience of the CHU Sart Tilman, University of Liege, Belgium, in the management of appendiceal carinoid tumor.
  
  
  METHODS
  A retrospective review of 1237 appendectomies performed in one single centre from January 2000 to May 2004, was undertaken. Analysis of demographic data, clinical presentation, histopathology, operative reports and outcome was presented.
  
  
  RESULTS
  Among the 1237 appendectomies, 5 appendiceal carcinoid tumors were identified (0.4%) in 4 male and 1 female patients, with a mean age of 29.2 years (range: 6-82 years). Acute appendicitis was the clinical presentation for all patients. Four patients underwent open appendectomy and one a laparoscopic procedure. One patient was reoperated to complete the excision of mesoappendix. All tumors were located at the tip of the appendix with a mean diameter of 0.6 cm (range: 0.3-1.0 cm). No adjuvant therapy was performed. All patients were alive and disease-free during a mean follow-up of 33 mo.
  
  
  CONCLUSIONS
  Appendiceal carcinoid tumor most often presents as appendicitis. In most cases, it is found incidentally during appendectomies and its diagnosis is rarely suspected before histological examination. Appendiceal carcinoid tumor can be managed by simple appendectomy and resection of the mesoappendix, if its size is <or=1 cm.
authors.affiliation: Department of Abdominal Surgery and Transplantation, University of Liège, B4000, Belgium.
authors.forename: Vincent
authors.initials: V
authors.lastname: Tchana-Sato
authors.forename: Olivier
authors.initials: O
authors.lastname: Detry
authors.forename: Marc
authors.initials: M
authors.lastname: Polus
authors.forename: Albert
authors.initials: A
authors.lastname: Thiry
authors.forename: Bernard
authors.initials: B
authors.lastname: Detroz
authors.forename: Sylvie
authors.initials: S
authors.lastname: Maweja
authors.forename: Etienne
authors.initials: E
authors.lastname: Hamoir
authors.forename: Thierry
authors.initials: T
authors.lastname: Defechereux
authors.forename: Carla
authors.initials: C
authors.lastname: Coimbra
authors.forename: Arnaud
authors.initials: A
authors.lastname: De Roover
authors.forename: Michel
authors.initials: M
authors.lastname: Meurisse
authors.forename: Pierre
authors.initials: P
authors.lastname: Honoré
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001062:Appendectomy / Q000379:methods*; D001063:Appendiceal Neoplasms / Q000175:diagnosis / Q000473:pathology / Q000601:surgery*; D002276:Carcinoid Tumor / Q000175:diagnosis / Q000473:pathology / Q000601:surgery*; D002648:Child; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D011379:Prognosis; D012189:Retrospective Studies; D016896:Treatment Outcome