¿Es la apendicectomía un tratamiento válido en las neoplasias mucinosas apendiculares de bajo grado?
- Colás Ruiz, E. 1
- García García, E. 2
- Hernández Granados, P. 1
- Gil Yonte, P.L. 1
- Martín Prieto, L. 1
- Pila Díez, U. 1
- Jiménez Almonacid, P. 1
- Dujovne Lindembaun, P. 1
- Fernández Cebrián, J.M. 1
- 1 Hospital Universitario Fundación Alcorcón. Servicio de Cirugía General y Aparato Digestivo
- 2 Hospital Universitario Fundación Alcorcón. Servicio de Anatomía Patológica
ISSN: 1139-8264
Argitalpen urtea: 2019
Alea: 22
Zenbakia: 1
Orrialdeak: 7-10
Mota: Artikulua
Beste argitalpen batzuk: Revista española de investigaciones quirúrgicas
Laburpena
Introduction: low-grade appendiceal mucinous neoplasms are an infrequent pathology, whose surgical management has varied in recent years. Methods: retrospective study of patients with anatomopathological diagnosis of low grade appendiceal mucinous neoplasms. Results: twenty-eight patients with a median age of 63 years were included. The main clinical presentation was acute appendicitis in 11 patients (39.3%). 35.7% were approached by laparoscopy. In 39,3% patients is described appendicular perforation and 25% present free mucus in the abdominal cavity. In 60,7% patients was performed an appendectomy, presenting the pathological study the border affected in 5 patients. In 4 of the 5 resection was extended, without evidence of residual disease. Conclusions: appendectomy is the recommended treatment in low grade mucinous neoplasms. If there borders are affected, treatment should be individualized, assessing follow-up as an option to be considered.