Surgical Treatment of Malignant Carcinoid Tumours of the Appendix

M. E. O'Donnell; J. Carson; W. I. H. Garstin


Int J Clin Pract. 2007;61(3):431-437. 

In This Article


Malignant carcinoid tumours of the appendix are rare and are difficult to identify preoperatively. We have presented our experience over the last 10 years, and following subsequent review of the literature, we recommend right hemicolectomy as the treatment of choice for all malignant carcinoid tumours, except for small CCT tumours less than 2 cm in diameter at the tip of the appendix, with a low proliferative index, without angiolymphatic or mesoappendiceal extension. Adjuvant therapy should be considered following oncological assessment for patients with hormonal abnormalities due to carcinoid syndrome, symptomatic measurable metastatic lesions in the liver or lungs, or delayed local recurrences.

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