A half century of experience with carcinoid tumors in children - 12/09/11
Requests for reprints should be addressed to Richard J. Andrassy, MD, Division of Pediatric Surgery, 6431 Fannin, Suite 6.264 Houston, Texas, 77030.Abstract |
Purpose: To investigate the frequency, presentation, clinical management, and prognosis of appendiceal carcinoid tumors in children.
Method: A review of our institution's experience over 50 years.
Results: Twenty-two patients below the age of 20 presented with appendiceal carcinoid tumor. The mean age at presentation was 14.6 years. Twelve patients presented with symptoms of appendicitis. No tumor was >2.0 cm in size. Only 2 patients underwent resection beyond appendectomy. No patient had recurrent or metastatic carcinoid tumor, and all but 1 patient (who died of ovarian choriocarcinoma) are alive without evidence of carcinoid tumors 1.5 to 30 years after diagnosis.
Conclusions: Appendiceal carcinoid tumors in children are rarely life-threatening and the incidence of large tumors (>2.0 cm) is very low. The role of right hemicolectomy in large (>2.0 cm) tumors is questionable in this age group.
El texto completo de este artículo está disponible en PDF. | Presented at the 47th Annual Meeting of the Southwestern Surgical Congress, San Antonio, Texas, April 23–26, 1995. |
Vol 170 - N° 6
P. 606-608 - décembre 1995 Regresar al número
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