Adenocarcinoma of the appendix

A clinicopathologic study

M. S. Didolkar, N. Fanous

Research output: Contribution to journalArticle

Abstract

Clinicopathologic correlation and survival were evaluated in 11 patients with adenocarcinomas of the appendix. This extremely rare tumor was seen most often in patients in the fifth decade of life. Acute appendicitis was the most common mode of presentation (8/11). A few patients (3/11) showed signs of distant metastases from an occult primary tumor in the appendix. Overall, median survival and five-year survival rate were two and a half years and 36 per cent, respectively. The patients who had papillary adenocarcinoma had the best prognosis because the tumor manifested early in the form of appendicitis. Those who had the colonic type of adenocarcinoma had a poorer prognosis because of full-thickness invasion (8/9) and lymphnode and distant metastases (5/9) at the time of diagnosis. Perforation of the appendix, per se, does not imply poor prognosis, but when it is at the site of tumor, the prognosis is worse. Every appendix should be opened immediately after its removal. Right hemicolectomy should be performed either at the time of the first operation or following initial appendectomy.

Original languageEnglish (US)
Pages (from-to)130-134
Number of pages5
JournalDiseases of the Colon and Rectum
Volume20
Issue number2
DOIs
StatePublished - Mar 1977
Externally publishedYes

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Adenocarcinoma
Appendicitis
Neoplasms
Papillary Adenocarcinoma
Neoplasm Metastasis
Appendectomy
Survival
Survival Rate

ASJC Scopus subject areas

  • Gastroenterology

Cite this

Adenocarcinoma of the appendix : A clinicopathologic study. / Didolkar, M. S.; Fanous, N.

In: Diseases of the Colon and Rectum, Vol. 20, No. 2, 03.1977, p. 130-134.

Research output: Contribution to journalArticle

Didolkar, M. S. ; Fanous, N. / Adenocarcinoma of the appendix : A clinicopathologic study. In: Diseases of the Colon and Rectum. 1977 ; Vol. 20, No. 2. pp. 130-134.
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