The role of appendectomy for mucinous ovarian neoplasms

Lin, Jennifer E; Seo, Songwon; Kushner, David M.; Rose, Stephen L.

doi:10.1016/j.ajog.2012.10.863

Cited by 45 publications

(37 citation statements)

References 9 publications

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“…Appendix tumoral involvement is independent of appendix macroscopic appearance and there is no correlation between appendix gross appearance and its tumoral involvement. These results differ from those of the previous few studies and were in contrast with Lin and colleagues' study which showed the dependence of gross appearance of appendix and its tumoral involvement on malignant and borderline tumors (1).…”

Section: Discussioncontrasting

confidence: 57%

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A Survay on Appendiceal Involvement in Ovarian Mucinous Tumors

Sayyah-Melli¹,

Najafnejad²,

Ouladsahebmadarek³

et al. 2017

International Journal of Women’s Health and Reproduction Scienc

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Section: Discussioncontrasting

confidence: 57%

“…According to the data of World Health Organization (WHO) and World Bank, in 2002 wars had been among the first ten reasons which killed the most and caused disabilities. Civil losses are at the rate of 90% within all losses (1). War has many negative effects on human health.…”

Section: War and Women's Healthmentioning

confidence: 99%

A Survay on Appendiceal Involvement in Ovarian Mucinous Tumors

Sayyah-Melli¹,

Najafnejad²,

Ouladsahebmadarek³

et al. 2017

International Journal of Women’s Health and Reproduction Scienc

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“…It has recently been shown that from a survival standpoint, in cases of mucinous neoplasms, appendectomy is not advantageous [6,7]. It has also been shown that in all types of BOTs, lymph node dissection or nodal involvement has no impact on recurrence or survival [3,11,21].…”

Section: Discussionmentioning

confidence: 99%

“…Many experts recommend complete surgical staging for all BOTs, regardless of the histologic type. In the case of mucinous tumors, however, such an approach might not be necessary unless additional abnormalities such as metastatic disease or pseudomyxoma peritonei exist [6,7]. Due to the lack of a current standard-of-care approach practice, each case is managed differently based on provider preference and the clinical situation.…”

Section: Introductionmentioning

confidence: 99%

Management of Borderline Ovarian Tumors Based on Patient and Tumor Characteristics

Black

Altwerger²,

Ratner³

et al. 2015

Gynecol Obstet Invest

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Background: Borderline ovarian tumors are staged similarly to invasive ovarian tumors. Aims: We wanted to better understand which tumors were associated with disease recurrence. Methods: We performed a retrospective cohort analysis at a single institution between 1984 and 2005. Cases were confirmed by pathology report. Multivariate analysis was done to evaluate factors associated with recurrence. Results: 143 cases were identified. Mean follow-up was 73.5 months. The overall risk of recurrence was 12%. The hazard ratio for risk of recurrence was highest among seromucinous tumors at 4.04 and lowest among mucinous tumors at 0.53. Only 4% of mucinous tumors, 15.5% of serous tumors and 28.6% of seromucinous tumors recurred. 2% of mucinous tumors had an appendix positive for metastasis. No mucinous tumor had nodal disease. Conclusions: Based on our data, a low rate of appendiceal or lymph node involvement was observed in mucinous tumors, as was a low risk of recurrence. Less aggressive staging may be considered if a mucinous tumor is identified on frozen section with a normal-appearing appendix in the absence of pseudomyxoma peritonei. In patients with a serous or a seromucinous tumor, complete surgical staging is recommended.

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“…Lin et al, in a group of 309 patients with ovarian mucinous neoplasms (197 benign; 68 low malignancy potential; and 44 malignant) with 155 appendectomies (45% of the benign group, 22% of the low malignancy potential group, and 59% of the malignant group), reported 3 synchronic appendiceal pathologies. Interestingly, there was 1 appendiceal pathology detected in each group and all of the operated appendixes looked grossly abnormal [12]. Hence, the risk of appendiceal involvement cannot be ruled out, depending on the perioperative pathological evaluation.…”

Section: Discussionmentioning

confidence: 99%

Appendectomy in the surgical treatment of benign ovarian mucinous cystadenomas — is it necessary?

Özyürek

Karacaoglu²,

Kaya³

et al. 2016

Ginekol Pol

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Objectives: To determine if appendectomy as an adjunctive procedure is necessary in the surgical treatment of benign ovarian mucinous cystadenomas. Material and methods:Retrospective analysis of clinical data: in a research hospital, obstetrics and gynecology department setting, 63 cases of benign ovarian mucinous cystadenomas confirmed in the pathological evaluation were revised. 59 had the complete clinical, final pathological and follow-up data available and were included.Results: 20.6% (13/59) went through an appendectomy. Basic characteristics of patients with different appendiceal pathologies did not show any significant differences. In the study group the mean age, parity, adnexial mass size were (40.1 ± 12.4); (1.3 ± 1.1) and (9.1 ± 5.3 cm), respectively. Patients were either operated laparoscopically (20), laparotomically (39) to perform a unilateral salpingoopherectomy/cystectomy. In 7 patients, oopherectomy was an additional procedure with: 2 abdominal hysterectomies, 4 cesarean sections and 1 total laparoscopic hysterectomy. 2 synchronous appendiceal pathologies (mucinous cystadenomas of the appendix) were defined in appendectomies performed. In these cases, the ovarian tumour sizes were: 7 cm and 4 cm. Conclusions:In the presence of a benign or borderline unilateral ovarian mucinous tumour as defined during the operation and especially if it is larger than 10-12 cm and with normal peritoneal and appendiceal gross morphology, appendectomy is not a necessary adjunctive procedure.

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The role of appendectomy for mucinous ovarian neoplasms

Cited by 45 publications

References 9 publications

A Survay on Appendiceal Involvement in Ovarian Mucinous Tumors

A Survay on Appendiceal Involvement in Ovarian Mucinous Tumors

Management of Borderline Ovarian Tumors Based on Patient and Tumor Characteristics

Appendectomy in the surgical treatment of benign ovarian mucinous cystadenomas — is it necessary?

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