Apandiks�in karsinoid t�m�r�:  Tedavisi ve sonu�lar�

Co�kun, Halil; Bostanc�, �zg�r; Dilege, M. Ece; Mihmanl�, Mehmet; Y�lmaz, Banu; Akg�n, �smail; Y�ld�r�m, Sad�k

Cilt : 12 Say� : 2 Y�l : 2024

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Apandiks�in karsinoid t�m�r�: Tedavisi ve sonu�lar� [Ulus Travma Acil Cerrahi Derg]

Ulus Travma Acil Cerrahi Derg. 2006; 12(2): 150-154

Apandiks�in karsinoid t�m�r�: Tedavisi ve sonu�lar�

Halil Co�kun¹, �zg�r Bostanc�¹, M. Ece Dilege¹, Mehmet Mihmanl�¹, Banu Y�lmaz², �smail Akg�n¹, Sad�k Y�ld�r�m¹
¹�i�li Etfal E�itim Ve Ara�t�rma Hastanesi, Cerrahi Klini�i, �stanbul, T�rkiye
²�i�li Etfal E�itim Ve Ara�t�rma Hastanesi, Patoloji Klini�i, �stanbul, T�rkiye

AMA�: Bu �al��mada apendiksin karsinoid t�m�rlerinin klinik ve histopatolojik �zellikleri ve tedavi y�ntemleri de�erlendirildi.
GERE�-Y�NTEM: Apendiksin karsinoid t�m�r� olan hastalar�n t�bbi kay�tlar� ve patoloji piyesleri retrospektif olarak incelendi. �al��ma verileri tan�mlay�c� istatistiksel metodlar (ortalama, SD, frekans) kullan�larak de�erlendirildi.
BULGULAR: Akut apandisit tan�s�yla ameliyat edilen 6777 hastan�n 11�inde (%0.16) histopatolojik incelemede karsinoid t�m�r saptand�. Alt� hasta (%54.54) erkek, 5 hasta (%45.45) kad�nd�; hastalar�n ya� ortalamas� 20.2�6.7 (13-35) idi. T�m�r 10 hastada 1/3 distal b�lgede, 1 hastada ise 1/3 proksimalde yerle�imliydi. Ortalama t�m�r �ap� 0.73�0.36 cm (0.3-1.5) idi. On hastada klasik tip karsinoid t�m�r saptan�rken, bir hastada goblet h�creli karsinoid t�m�r g�r�ld�. Hastalar�n hi�birinde geni�letilmi� rezeksiyon yap�lmad�. Hastalar�n ortalama takip s�resi 28.5�15.2 (6-48) ay olup hi�bir hastada n�ks g�r�lmedi.
SONU�: T�m�r �ap� 1-2 cm olan olgularda uygun tedavi y�ntemi apandektomidir. Basit apandektomi ile 2 cm�nin alt�ndaki t�m�rlerde k�sa s�rede n�ks saptanmamaktad�r.

Anahtar Kelimeler: Adenokarsinom/tan�, apendis neoplazi/tan�; karsinoid t�m�r/tan�

Carcinoid tumors of appendix: treatment and outcome

Halil Co�kun¹, �zg�r Bostanc�¹, M. Ece Dilege¹, Mehmet Mihmanl�¹, Banu Y�lmaz², �smail Akg�n¹, Sad�k Y�ld�r�m¹
¹Departments Of Surgery, �i�li Etfal Training And Research Hospital, �stanbul, Turkey
²Departments Of Pathology, �i�li Etfal Training And Research Hospital, �stanbul, Turkey

BACKGROUND: The aim of this study is to evaluate the clinical and histopathological features and the treatment of carcinoid tumors of the appendix.
METHODS: A retrospective review of medical records and pathology specimens of patients with carcinoid tumor of the appendix has been done. The data derived from this study has been evaluated by descriptive statistical methods (mean, SD, frequency).
RESULTS: The histopathological examination of the appendices revealed carcinoid tumor in 11 out of 6777 (0.16%) patients operated for acute appendicitis. Six (54.54%) patients were male, 5 (45.45%) were female and the mean age was 20.2�6.7 years (13-35). The tumor was localized in the distal 1/3 region in 10 patients and in the proximal 1/3 region in 1 patient. The mean tumor diameter was 0.73�0.36 cm (0.3-1.5). Ten patients had classical type carcinoid tumor whereas goblet cell carcinoid tumor was only seen in one patient. None of the patients underwent an expanded resection. The mean follow up of the patients is 28.5�15.2 months (6-48), and no recurrences were seen.
CONCLUSION: In tumors with a diameter of 1 to 2 cm, appendectomy is the treatment of choice. No recurrence was detected with tumors smaller than 2 cm with simple appendectomy.

Keywords: Adenocarcinoma/diagnosis, appendiceal neoplasms/ diagnosis, carcinoid tumor/diagnosis

Sorumlu Yazar: Halil Co�kun, T�rkiye
Makale Dili: �ngilizce

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