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| Content Provider | World Health Organization (WHO)-Global Index Medicus |
|---|---|
| Author | Kokoropoulos, Panayiotis Konstantudakis, George Papadopoulos, Iordanis N. Leontara, Vassilia Economopoulos, Nikolaos Christodoulou, Spyridon |
| Description | Author Affiliation: Papadopoulos IN ( Fourth Surgery Department, National & Kapodistrian University of Athens, School of Medicine, University General Hospital Attikon, Athens, Greece. ipapado@med.uoa.gr) |
| Abstract | Recent advances in the management of appendiceal mucinous neoplasms (AMN) such as peritonectomy combined with hyperthermic intraperitoneal chemotherapy have introduced new standards of care. However, many dilemmas are encountered in decision making as in the following patient. A 74-year-old woman was admitted with an appendiceal cystadenoma found in a preadmission CT scan. However, the tumour was not documented by the in hospital investigation due to its perforation and its reduction in size. Consequently, a series of management dilemmas were encountered that were solved by cautious evaluation of the pre and peroperative findings. She was submitted to a right hemicolectomy. A spontaneous perforation was suspected, but the accurate diagnosis was documented postoperatively by histopathology. This paradigm motivated this review which concluded that reasoning clinical decisions in the light of recent advances and appropriate care based on the disease-stage are essential for an optimal outcome in the management of AMN. |
| e-ISSN | 1757790X |
| Journal | BMJ Case Reports |
| Volume Number | 2011 |
| Language | English |
| Publisher | BMJ Publishing Group Ltd. |
| Publisher Place | Great Britain (UK) |
| Access Restriction | Open |
| Subject Keyword | Appendiceal Neoplasms Diagnosis Cystadenoma, Mucinous Pathology Surgery Appendix Biopsy Colectomy Colonoscopy Decision Making Diagnosis, Differential Magnetic Resonance Imaging Neoplasm Staging Tomography, X-Ray Computed Ultrasonography Multidisciplinary |
| Content Type | Text |
| Resource Type | Article |
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