Mucinous neoplasm of the appendix: management according to reviewed histologic spectral aspects

Authors

  • Carlos Augusto Gomes Surgery Department, University Hospital of Therezinha de Jesus, Faculty of Medical and Health Sciences Juiz de Fora (SUPREMA), Minas Gerais
  • Cleber Soares Junior Surgery Department, University Hospital of Therezinha de Jesus, Faculty of Medical and Health Sciences Juiz de Fora (SUPREMA), Minas Gerais
  • Federico Coccolini Emergency and Trauma Surgery Department, Papa Giovanni XXIII Hospital, Bergamo
  • Giulia Montori Emergency and Trauma Surgery Department, Papa Giovanni XXIII Hospital, Bergamo
  • Rafaela Clara Resende da Silva Internal Medicine Unit, University Hospital of Therezinha de Jesus, Faculty of Medical and Health Sciences Juiz de Fora (SUPREMA), Minas Gerais
  • Vinicius Alvarez Souza do Amaral Internal Medicine Unit, University Hospital of Therezinha de Jesus, Faculty of Medical and Health Sciences Juiz de Fora (SUPREMA), Minas Gerais
  • Paula Varginha Salgado Internal Medicine Unit, University Hospital of Therezinha de Jesus, Faculty of Medical and Health Sciences Juiz de Fora (SUPREMA), Minas Gerais
  • Priscila Viviani da Trindade de Ávila Surgery Department, University Hospital of the Federal University Juiz de Fora, Minas Gerais
  • Felipe Couto Gomes Surgery Department, University Hospital of the Federal University Juiz de Fora, Minas Gerais
  • Camila Couto Gomes Surgery Department, Hospital Governador Israel Pinheiro (HGIP-IPSEMG), Belo Horizonte, Minas Gerais

DOI:

https://doi.org/10.4081/joper.2018.78

Keywords:

Mucocele; low grade intraepithelial neoplasia; appendectomy; appendix; treatment

Abstract

Of the diseases affecting the cecal appendix, mucinous neoplasms, although rare, are the most common epithelial tumor. They are often asymptomatic and diagnosed by anatomopathological exams of sections, collected during appendectomies due to acute appendicitis. These tumors have the potential to become malignant, and their early surgical handling are the most important prognostic factor. So, clinical, image, operatory and histologic spectral aspects should always take into account. The present study reports a case of mucinous neoplasm of the appendix that manifested with intestinal partial obstruction and suggests the need for a comprehensive and uniform classification, which could address the best disease first approach. The information was obtained through a patient records review, photographic documentation of the diagnostic tests and histologic study of operative specimen. In addition, the manuscript opens a discussion about the approach of choice of this complex neoplasia, since great variability persists in clinical and pathological records, due to variations in classifications and definitions. This variability in disease nomenclature may significantly impact the treatment and prognosis.

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Published

2018-08-06

How to Cite

1.
Gomes CA, Soares Junior C, Coccolini F, Montori G, Resende da Silva RC, Souza do Amaral VA, Salgado PV, de Ávila PV da T, Gomes FC, Gomes CC. Mucinous neoplasm of the appendix: management according to reviewed histologic spectral aspects. J Peritoneum [Internet]. 2018 Aug. 6 [cited 2024 Nov. 21];3(1). Available from: https://joper.pagepress.net/index.php/joper/article/view/78

Issue

Vol 3, No 1 (2018)

Section

Case Reports

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