Should we remove the normal-looking appendix during operations for borderline mucinous ovarian neoplasms?: A retrospective study of 129 cases

Özcan, Aykut; Töz, Emrah; Turan, Volkan; Şahin, Çağdaş; Kopuz, Aycan; Ata, Can; Şancı, Muzaffer

doi:10.1016/j.ijsu.2015.04.043

Cited by 27 publications

(14 citation statements)

References 19 publications

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“…10,16 Given the fact that there is a low risk of complications associated with a concurrent appendicectomy and our findings of 24% prevalence of appendiceal pathology regardless of the gross appearances of the appendix, one might argue that routine appendicectomy should be performed.…”

Section: Strengths and Limitationsmentioning

confidence: 95%

Prevalence of Appendiceal Lesions in Appendicectomies Performed During Surgery for Mucinous Ovarian Tumors: A Retrospective Study

Moore

Gajjar²,

Jimenez-Liñan³

et al. 2016

Int J Gynecol Cancer

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Section: Strengths and Limitationsmentioning

confidence: 95%

Prevalence of Appendiceal Lesions in Appendicectomies Performed During Surgery for Mucinous Ovarian Tumors: A Retrospective Study

Moore

Gajjar²,

Jimenez-Liñan³

et al. 2016

Int J Gynecol Cancer

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“…Some surgeons perform complete staging surgery because of the low accuracy and sensitivity of frozen section analysis in these patients, while others prefer conservative surgery (5,6). In addition, over the years, guidelines often recommended removal of the appendix in patients with mBOT; however, appendectomy is controversial today, and some authors suggest appendectomy only if the appendix appears macroscopically abnormal (3,(7)(8)(9)(10).…”

mentioning

confidence: 99%

The Impact of Surgical Staging on the Prognosis of Mucinous Borderline Tumors of the Ovaries: A Multicenter Study

2017

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“…Although patients with early clinical stages usually do not have involvement with the appendix, evaluation of the appendix is needed during surgery because the involvement of the appendix will make cancer grading increase and require adjuvant treatment.4,9,10 Appendectomy should also be done in ovarian cancer patients due to its anatomical site, where ascites could build-up especially in right ovarian cancer and further increase the rate of metastasis. 10 It was discovered that 10 per cent of the subjects of this study experienced involvement from the appendix. This percentage is still lower than other studies which stated that appendix involvement was 15% or even 29%.4,1 Ovarian epithelial cancer has a very poor prognosis at an advanced stage regardless of the subtype of cancer.…”

Section: Discussionmentioning

confidence: 67%

Prevalence of Appendical Metastasis in Primary Surgery of Ovarian Epithelial Cancer

Nuranna

Amili

Purbadi

et al. 2020

Indones J Obstet Gynecol

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Objective: To determine the prevalence of metastasis to appendix from primary surgery of ovarian epithelial cancer at National General Hospital Dr. Cipto Mangunkusumo (RSCM), Indonesia.Methods: A cross sectional study was done using ovarian epithelial cancer patient medical record whose primary ovarian cancer and appendectomy surgery were conducted on July to December 2019 at RSCM. Patients without appendix histopatology result and previous chemotherapy were excluded in this study. Consecutive method and random sampling were used in this study.Results: : A total of 80 subjects were included in this study. Subjects have average age of 48 years old. Out of all samples, 43 samples (53.8%) were defined as stage I patient, 7 subjects (8.8%) as stage II, 30 subjects (37.5%) as stage III, and none as stage IV. Appendectomy were done and eight subjects (10%) experienced metastasis to appendix. A total of 19 subjects (23.8%) had chronic appendicitis and 53 subjects (66.3%) did not have metastasis to the appendix. Among eight subjects having appendix involvement, 4 had mucinous histology, 2 serous, and 2 endometrioid. Six out of eight were diagnosed at clinical stage III and two were diagnosed at stage I.Conclusion: The prevalence of appendix metastases from primary surgery in ovarian epithelial cancer at RSCM was 10%. Based on this research, appendectomy can be considered on ovarian cancer surgeryKeywords: appendix, metastasis, ovarian cancer. Abstrak Tujuan: Mengetahui prevalensi metastasis kanker epitelial ovarium ke apendiks pada pembedahan primer kanker epitelial ovarium di Rumah Sakit Umum Pusat Nasional Dr. Cipto Mangunkusumo (RSCM), Indonesia. Metode: Penelitian ini merupakan studi potong lintang menggunakan data rekam medis pasien kanker ovarium epitelial yang menjalani pembedahan primer dan apendiktomi pada bulan Juli hingga Desember 2019 di RSCM Pasien tanpa histopatologi apendiks atau pernah dilakukan kemoterapi sebelumnya dieksklusi dari penelitian. Digunakan metode pengambilan sampel secara acak. Hasil: Didapatkan 80 subjek penelitian yang diikutsertakan dalam penelitian. Dari 80 subjek penelitian, didapatkan rerata usia 48 tahun. Sebanyak 43 subjek (53,8%) didiagnosis dengan stadium I, 7 subjek (8,8%) sebagai stadium II, 30 subjek (37,5%) stadium III. Dari 80 subjek yang menjalani apendiktomi, didapatkan 8 subjek (10%) anak sebar ke apendiks, 19 subjek (23,8 %) apendisitis kronis, 53 subjek (66,3%) tidak terdapat anak sebar. Dari 8 subjek yang terdapat anak sebar ke apendiks dengan temuan histologi 4 musinosum, 2 serosum, 2 endometroid. Sebanyak enam dari delapan subjek terdiagnosis pada stadium klinis stadium III dan dua lainnya pada stadium klinis satu. Kesimpulan: Prevalensi metastasis apendiks pada operasi primer kanker ovarium epitelial di RSCM adalah sebesar 10%. Berdasarkan hasil penelitian ini, apendektomi dapat dipertimbangkan dilakukan pada pembedahan baik stadium awal maupun stadium lanjut.Kata kunci: , apendiks , kanker ovarium, metastatis

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Should we remove the normal-looking appendix during operations for borderline mucinous ovarian neoplasms?: A retrospective study of 129 cases

Abstract: Appendectomy should not be performed if the appendix is grossly normal.

Cited by 27 publications

References 19 publications

Prevalence of Appendiceal Lesions in Appendicectomies Performed During Surgery for Mucinous Ovarian Tumors: A Retrospective Study

Prevalence of Appendiceal Lesions in Appendicectomies Performed During Surgery for Mucinous Ovarian Tumors: A Retrospective Study

The Impact of Surgical Staging on the Prognosis of Mucinous Borderline Tumors of the Ovaries: A Multicenter Study

Prevalence of Appendical Metastasis in Primary Surgery of Ovarian Epithelial Cancer

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