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Appendiceal Carcinoid Tumor in Children: a Conservative Surgical Approach

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Abstract

Carcinoid tumors of the appendix are slow-growing tumors and, although rare, they are the most common gastrointestinal epithelial tumors in childhood and adolescence. The treatment and the follow-up have been guided by adult presentations and outcomes, although have not been clearly standardized in children. A retrospective review was performed in all cases of appendiceal carcinoids in children over a 20-year period. Data regarding clinical presentation, diagnosis, surgical treatment, pathology, follow-up, and outcomes were collected and analyzed. We identified eight cases of appendiceal carcinoids. All cases were diagnosed after appendectomy for presumed appendicitis, with no patient having carcinoid syndrome. The patients include five females and three males with an average age of 15 years at presentation. Tumor size ranged from 4 to 20 mm (mean 13 mm). Four cases had invasion of mesoappendix, two of which underwent a subsequent right hemicolectomy. No patient had evidence of lymphatic invasion after right colectomy. Mean follow-up was 112 months and no patients had recurrence and liver metastases. We found no evidence of carcinoid syndrome or metastatic disease in our patients. Follow-up utility is questionable in these cases. The need for a secondary colectomy is questionable in this age group and restricted to rare conditions.

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Acknowledgments

I appreciated the work and dedication of the entire team for the realization of the article as well as the Ramon y Cajal hospital.

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Authors and Affiliations

  1. Division of Surgery, Ramon y Cajal University Hospital, Ctra. de Colmenar, Km 9,100, P.O. 28031, Madrid, Spain

    Pedro Abadía Barnó, Jose Barquín Yagüez & Juan Carlos García Pérez

  2. Division of Pediatric Surgery, Ramon y Cajal University Hospital, Madrid, Spain

    Fernando Rivilla

  3. Division of Gastroenterology, La Paz University Hospital, Madrid, Spain

    Marta Abadía Barnó

Authors
  1. Pedro Abadía Barnó
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  2. Fernando Rivilla
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  3. Jose Barquín Yagüez
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  4. Marta Abadía Barnó
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  5. Juan Carlos García Pérez
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Correspondence to Pedro Abadía Barnó.

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The authors declare that they have no conflict of interest.

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Abadía Barnó, P., Rivilla, F., Barquín Yagüez, J. et al. Appendiceal Carcinoid Tumor in Children: a Conservative Surgical Approach. Indian J Surg 80, 461–464 (2018). https://doi.org/10.1007/s12262-017-1634-y

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  • DOI: https://doi.org/10.1007/s12262-017-1634-y

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