PDF herunterladen
CC BY 4.0 · European J Pediatr Surg Rep. 2018; 06(01): e81-e82
DOI: 10.1055/s-0038-1672166
Case Report
Georg Thieme Verlag KG Stuttgart · New York

The Excised Appendix Tip—To Send or not to Send, That is the Question

Lucinda Tullie
1   Department of Paediatric Surgery and Urology, Southampton Children's Hospital, Southampton, United Kingdom of Great Britain and Northern Ireland
,
Bhumita Vadgama
2   Department of Histopathology, University Hospital Southampton NHS Foundation Trust, Southampton, United Kingdom of Great Britain and Northern Ireland
,
Ravindar Anbarasan
1   Department of Paediatric Surgery and Urology, Southampton Children's Hospital, Southampton, United Kingdom of Great Britain and Northern Ireland
,
Michael P. Stanton
1   Department of Paediatric Surgery and Urology, Southampton Children's Hospital, Southampton, United Kingdom of Great Britain and Northern Ireland
,
Henrik Steinbrecher
1   Department of Paediatric Surgery and Urology, Southampton Children's Hospital, Southampton, United Kingdom of Great Britain and Northern Ireland
› Institutsangaben
Weitere Informationen

Publikationsverlauf

24. Juli 2018

14. August 2018

Publikationsdatum:
18. Oktober 2018 (online)

Auch verfügbar auf
   Lizenzen und Reprints

Abstract

A 9-year-old boy, with previous anorectal malformation and neuropathic bladder and bowel, underwent ileocystoplasty, Monti–Mitrofanoff and appendix antegrade colonic enema procedure. The tip of the macroscopically normal appendix was sent for routine histopathology. Microscopy demonstrated a 5-mm well-differentiated neuroendocrine tumor extending into muscularis propria. Ki-67 index was <2%. Due to margin involvement, the appendix conduit and surrounding skin were re-excised and a tube cecostomy was created through a separate incision. Microscopy revealed no residual neuroendocrine tumor, and no further treatment was required.

Keywords

appendix - carcinoid - pediatric - antegrade continence enema
 

  • References

  • 1 Mitrofanoff P. Cystometric continence transappendiculone dans le traitmat des vessias neurologiques. Chie Paediatr 1980; 21 (04) 297-305
    PubMedSuche in Google Scholar
  • 2 Malone PS, Ransley PG, Kiely EM. Preliminary report: the antegrade continence enema. Lancet 1990; 336 (8725): 1217-1218
    CrossrefPubMedSuche in Google Scholar
  • 3 Doede T, Foss HD, Waldschmidt J. Carcinoid tumors of the appendix in children--epidemiology, clinical aspects and procedure. Eur J Pediatr Surg 2000; 10 (06) 372-377
    Thieme ConnectPubMedSuche in Google Scholar
  • 4 Parkes SE, Muir KR, al Sheyyab M. , et al. Carcinoid tumours of the appendix in children 1957-1986: incidence, treatment and outcome. Br J Surg 1993; 80 (04) 502-504
    CrossrefPubMedSuche in Google Scholar
  • 5 Njere I, Smith LL, Thurairasa D. , et al. Systematic review and meta-analysis of appendiceal carcinoid tumors in children. Pediatr Blood Cancer 2018; 65 (08) e27069
    CrossrefPubMedSuche in Google Scholar
  • 6 Leibovitch I, Avigad I, Nativ O, Goldwasser B. The frequency of histopathological abnormalities in incidental appendectomy in urological patients: the implications for incorporation of the appendix in urinary tract reconstruction. J Urol 1992; 148 (01) 41-43
    CrossrefPubMedSuche in Google Scholar
  • 7 Arole S, Alsati W, Parashar K. Carcinoid in an appendix used for a Mitrofanoff channel. BJU Int 1999; 84 (09) 1110
    PubMedSuche in Google Scholar