The incidence of primary appendiceal adenocarcinoma in Western Greece (prefecture of Aitoloakarnania): 13 years study of appendicectomy specimens

 
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Annals of Gastroenterology
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The incidence of primary appendiceal adenocarcinoma in Western Greece (prefecture of Aitoloakarnania): 13 years study of appendicectomy specimens (EN)

A. Rogdakis, C. Agelakis, P. Morfaki,, A.C. Datsis, E. Katsiki,
Stavropoulos, J. Spiliotis, S. Kekelos, E. Lambropoulou,

SUMMARY Aim of the study: The primary adenocarcinoma of the appendix is a rare tumor. We describe three cases and register the tumor’s annual incidence in our state. Methodology: We studied 3596 appendicectomy specimens (1/1/1990 – 31/12/2002) from the two hospitals of the prefecture of Aitoloakarnania (Western Greece). Results: We diagnosed 3 cases of the tumor (percentage 0.08%). The annual icidence in our state is 0.115 cases/ 100.000 persons/year (the estimated annual incidence for the total population of Greece is 11,5 cases/year). The mean age of our patients was 66.3 years. The preoperative diagnosis was acute appendicitis in two and caecum tumor in the other. In all, the definitive operation was a right hemicolectomy. Two patients had Dukes B tumors and the other, who died 15 days postoperatively, Dukes C. The two living patients are healthy without tumor reccurence, 15 and 60 months postoperatively. Conclusion: The primary adenocarcinoma of the appendix: a. is very rare , b. affects both sexes in the fifth to sixth decade of their life, c. is diagnosed preoperatively with extreme difficulty, d. frequently gives ovarian metastases and coexists with other primary malignancy, and e. has better prognosis after right hemicolectomy. In our state (prefecture of Aitoloakarnania) we have registered very low rates of primary appendiceal adenocarcinoma (0.08% among appendicectomy specimens) and a very low annual incidence (0.115 cases/100.000 persons/year). Key words: primary appendiceal adenocarcinoma, appendicectomy, right hemicolectomy (EN)

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info:eu-repo/semantics/publishedVersion

Ελληνική Γαστροεντερολογική Εταιρία (EL)
Hellenic Society of Gastroenterology (EN)

2007-03-19


Hellenic Society of Gastroenterology (EN)

1792-7463
1108-7471
Annals of Gastroenterology; Volume 17, No 2 (2004) (EN)



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