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

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 we...

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Bibliographic Details
Main Authors: Lucinda Tullie (Author), Bhumita Vadgama (Author), Ravindar Anbarasan (Author), Michael P. Stanton (Author), Henrik Steinbrecher (Author)
Format: Book
Published: Georg Thieme Verlag KG, 2018-01-01T00:00:00Z.
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Summary: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.
Item Description:2194-7619
2194-7627
10.1055/s-0038-1672166