title: Carcinoid tumor of the appendix: report on ten cases.
abstract: OBJECTIVE
  To conduct a retrospective analysis of the incidence and long-term outcomes of carcinoid tumor of the appendix in emergency appendectomies.
  
  
  METHODS
  From a histopathologic database of 2197 appendectomies from a single center, all appendiceal carcinoid tumors were identified and case notes reviewed. Demographic data, clinical presentation, histopathology, operative reports, and survival were scored and compared with those reported in the literature.
  
  
  RESULTS
  Ten patients (0.45%) with appendiceal carcinoid tumor were identified (2 male, 8 female; mean age, 29.2 years; age range, 14-56 years). In all cases, the clinical presentation resembled the symptoms of acute appendicitis. Open appendectomy was performed in all patients. All tumors were located at the tip of the appendix, with a mean diameter of 0.4 cm (range, 0.1-0.9 cm), and the mesoappendix was invaded in one patient. No patient had repeat surgery after the initial operation. After a mean follow-up period of 55 months (range, 26-82 months), all patients were alive and disease- and symptom-free.
  
  
  CONCLUSIONS
  To conclude, carcinoid tumors are extremely rare, and the diagnosis is often made after surgery. We emphasise the value of obtaining histopathological analysis of every removed appendix because visual examination does not always correlate with later pathological examination. Furthermore, small appendiceal carcinoids (<1 cm) have an excellent prognosis after appendectomy.
authors.affiliation: Ankara Numune Teaching and Research Hospital, 3. General Surgery, 53. cadde 35/10 Kızılırmak Mah, Çankaya, Ankara, Turkey.
authors.forename: B
authors.initials: B
authors.lastname: Saylam
authors.affiliation: Ankara Numune Teaching and Research Hospital, 3. General Surgery, 53. cadde 35/10 Kızılırmak Mah, Çankaya, Ankara, Turkey.
authors.forename: Ö K
authors.initials: ÖK
authors.lastname: Küçük
authors.affiliation: Ankara Numune Teaching and Research Hospital, 3. General Surgery, 53. cadde 35/10 Kızılırmak Mah, Çankaya, Ankara, Turkey.
authors.forename: A P
authors.initials: AP
authors.lastname: Düzgün
authors.affiliation: Ankara Numune Teaching and Research Hospital, 3. General Surgery, 53. cadde 35/10 Kızılırmak Mah, Çankaya, Ankara, Turkey.
authors.forename: M V
authors.initials: MV
authors.lastname: Özer
authors.affiliation: Ankara Numune Teaching and Research Hospital, 3. General Surgery, 53. cadde 35/10 Kızılırmak Mah, Çankaya, Ankara, Turkey. mdbsaylam@yahoo.com.
authors.forename: F
authors.initials: F
authors.lastname: Coşkun
keywords: Appendectomy; Appendix; Carcinoid
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