The perforated appendiceal carcinoid in children: a surgical dilemma.
The decision for aggressive reoperation after discovery of an appendiceal carcinoid is generally based upon criteria such as size, grade, degree of involvement of the mesoappendix or the appendiceal base, lymphovascular invasion, and the presence of goblet cell or adenocarcinoid features. No guidelines currently exist for the management of perforated appendiceal carcinoids. We present a case of perforated appendiceal carcinoid that was subsequently treated with right hemicolectomy, and we review the pertinent literature.
Division of Pediatric Surgery, Department of Surgery, The University of South Florida Morsani College of Medicine, Tampa, FL 33606, USA.
Abhishek
A
Mathur
Thora S
TS
Steffensen
Charles N
CN
Paidas
Patricia
P
Ogera
Mark L
ML
Kayton
D018784:Abdominal Abscess / Q000150:complications / Q000601:surgery; D000293:Adolescent; D001062:Appendectomy; D001063:Appendiceal Neoplasms / Q000150:complications* / Q000175:diagnosis / Q000473:pathology / Q000601:surgery / Q000652:urine; D001064:Appendicitis / Q000209:etiology / Q000601:surgery*; D014408:Biomarkers, Tumor / Q000652:urine; D002276:Carcinoid Tumor / Q000150:complications* / Q000175:diagnosis / Q000473:pathology / Q000601:surgery / Q000652:urine; D003082:Colectomy / Q000379:methods*; D006801:Humans; D006897:Hydroxyindoleacetic Acid / Q000652:urine; D033162:Incidental Findings; D007416:Intestinal Perforation / Q000209:etiology / Q000601:surgery*; D010535:Laparoscopy; D008197:Lymph Node Excision; D008297:Male; D009361:Neoplasm Invasiveness; D009367:Neoplasm Staging
D014408:Biomarkers, Tumor; D006897:Hydroxyindoleacetic Acid