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Recommendations in the management of epithelial appendiceal neoplasms and peritoneal dissemination from mucinous tumours (pseudomyxoma peritonei)
Barrios, P; Losa, F; Gonzalez-Moreno, S; Rojo, A; Gómez-Portilla, A; Bretcha-Boix, P; Ramos, I; Torres-Melero, J; Salazar, R; Benavides, M; Massuti, T; Aranda, E.
Afiliación
  • Barrios, P; Hospital Sant Joan Despí. Sant Joan Despí. Spain
  • Losa, F; Hospital Sant Joan Despí. Sant Joan Despí. Spain
  • Gonzalez-Moreno, S; Anderson Cancer Center. Madrid. Spain
  • Rojo, A; Anderson Cancer Center. Madrid. Spain
  • Gómez-Portilla, A; Hospital San José. Vitoria. Spain
  • Bretcha-Boix, P; Hospital Quirón-Salud Torrevieja. Torrevieja. Spain
  • Ramos, I; Universidad de Barcelona. Barcelona. Spain
  • Torres-Melero, J; Hospital de Torrecardenas. Almeria. Spain
  • Salazar, R; Institut Català d’Oncologia (ICO-L’Hospitalet). L’Hospitalet. Spain
  • Benavides, M; Hospital Regional Universitario. Málaga. Spain
  • Massuti, T; Hospital General de Alicante. Alicante. Spain
  • Aranda, E; Maimonides Institute of Biomedical Research (IMIBIC). Córdoba. Spain
Clin. transl. oncol. (Print) ; 18(5): 437-448, mayo 2016. ilus
Article en En | IBECS | ID: ibc-151176
Biblioteca responsable: ES1.1
Ubicación: BNCS
ABSTRACT
The epithelial appendiceal neoplasms are uncommon and are usually detected as an unexpected surgical finding. The general surgeon should be aware of the diversity of its clinical manifestations and biological behaviors along with the significance of the surgical treatment on the progression of the illness and the prognosis of the patients. The operative findings and, especially, tumor histology, determine the type of surgery. Intestinal histologic subtype behaves and should be treated similarly to the right colon neoplasms; while mucinous tumors, often discordant between histology and its aggressiveness, can be treated with a simple appendectomy or require complex oncological surgeries. Mucinous tumors are often associated with the presence of mucin or tumor implants in the abdominal cavity, being the clinical syndrome known as pseudomyxoma peritonei (PMP). PMP tends to present an indolent but deadly evolution and requires a multimodal approach as a single treatment with curative potential complete cytoreductive surgery plus hyperthermic Intraperitoneal chemotherapy (CCRS ? HIPEC) now considered the standard of care in this pathology. The general surgeon should be aware of the governing principles of the treatment of appendiceal neoplasms with or without peritoneal dissemination, know the therapeutic frontiers in every situation (avoiding unnecessary or counterproductive surgeries) and sending early these patients to specialised centres in the radical management of malignant diseases of the peritoneum in the conditions and with the necessary information to facilitate a possible radical treatment (AU)
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Colección: 06-national / ES Base de datos: IBECS Asunto principal: Neoplasias Peritoneales / Seudomixoma Peritoneal / Neoplasias Glandulares y Epiteliales Tipo de estudio: Diagnostic_studies / Evaluation_studies / Prognostic_studies Límite: Female / Humans / Male Idioma: En Revista: Clin. transl. oncol. (Print) Año: 2016 Tipo del documento: Article
Buscar en Google
Colección: 06-national / ES Base de datos: IBECS Asunto principal: Neoplasias Peritoneales / Seudomixoma Peritoneal / Neoplasias Glandulares y Epiteliales Tipo de estudio: Diagnostic_studies / Evaluation_studies / Prognostic_studies Límite: Female / Humans / Male Idioma: En Revista: Clin. transl. oncol. (Print) Año: 2016 Tipo del documento: Article