علاج سرطان الزائدة الدودية الغدي من النوع القولوني

References

• For the purposes of this review, appendix cancers will be broadly classified as: colonic-type adenocarcinoma, mucinous adenocarcinoma, goblet cell adenocarcinoma (GCA), and neuroendocrine carcinoma (aka. "typical carcinoid").
• The workup, staging, and treatment of colonic-type adenocarcinoma arising in the appendix mirror that of colon cancer.
• Patients found to have unfavorable T1 tumors (high-grade, angiolymphatic invasion, and/or positive margins) should be considered for formal right hemicolectomy for adequate staging and resection.
• Patients with T2 or greater tumors require complete staging with contrast-enhanced computed tomography (CT) of the chest, abdomen, and pelvis if not already performed.
• If there is no evidence of distant metastasis, right hemicolectomy is recommended, with 12 or more lymph nodes typically considered adequate for accurate staging.