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Appendiceal Carcinoids in Children–Prevalence, Treatment and Outcome in a Large Nationwide Pediatric Cohort
Background and Objectives: Appendiceal carcinoids are rare neuroendocrine tumors and mainly found incidentally during histopathological examination following appendectomy. This observational cohort study was performed to determine the prevalence, treatment modalities and outcomes in children diagnos...
Autores principales: | , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9863284/ https://www.ncbi.nlm.nih.gov/pubmed/36676704 http://dx.doi.org/10.3390/medicina59010080 |
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author | Duess, Johannes Wolfgang Lange, Ansgar Zeidler, Jan Blaser, Jochen Dingemann, Carmen Ure, Benno M. Lacher, Martin Gosemann, Jan-Hendrik Hofmann, Alejandro Daniel |
author_facet | Duess, Johannes Wolfgang Lange, Ansgar Zeidler, Jan Blaser, Jochen Dingemann, Carmen Ure, Benno M. Lacher, Martin Gosemann, Jan-Hendrik Hofmann, Alejandro Daniel |
author_sort | Duess, Johannes Wolfgang |
collection | PubMed |
description | Background and Objectives: Appendiceal carcinoids are rare neuroendocrine tumors and mainly found incidentally during histopathological examination following appendectomy. This observational cohort study was performed to determine the prevalence, treatment modalities and outcomes in children diagnosed with an appendiceal carcinoid tumor. Materials and Methods: Data from the largest German statutory health insurance “Techniker Krankenkasse” were analyzed within an 8-year period: January 2010 to December 2012 and January 2016 to December 2020. Patient characteristics, surgical technique, type of surgical department, diagnostic management, and postoperative morbidity were analyzed. Results: Out of 40.499 patients following appendectomy, appendiceal carcinoids were found in 44 children, resulting in a prevalence of 0.11%. Mean age at appendectomy was 14.7 (±2.6) years. Laparoscopic approach was performed in 40 (91%) cases. Right-sided hemicolectomy was performed in 8 (18%) patients. Additional diagnostic work-up (CT and MRI) was recorded in 5 (11%) children. Conclusions: This large nationwide pediatric study shows that 1 in 1000 patients was found to have a neuroendocrine tumor of the appendix (prevalence 0.11%), emphasizing its low prevalence in the pediatric age group. The majority of patients were treated with appendectomy only. However, treatment modalities are still variable. Longer follow-up analyses are needed to evaluate published guidelines and recommendations to aim for a limited surgical approach. |
format | Online Article Text |
id | pubmed-9863284 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-98632842023-01-22 Appendiceal Carcinoids in Children–Prevalence, Treatment and Outcome in a Large Nationwide Pediatric Cohort Duess, Johannes Wolfgang Lange, Ansgar Zeidler, Jan Blaser, Jochen Dingemann, Carmen Ure, Benno M. Lacher, Martin Gosemann, Jan-Hendrik Hofmann, Alejandro Daniel Medicina (Kaunas) Article Background and Objectives: Appendiceal carcinoids are rare neuroendocrine tumors and mainly found incidentally during histopathological examination following appendectomy. This observational cohort study was performed to determine the prevalence, treatment modalities and outcomes in children diagnosed with an appendiceal carcinoid tumor. Materials and Methods: Data from the largest German statutory health insurance “Techniker Krankenkasse” were analyzed within an 8-year period: January 2010 to December 2012 and January 2016 to December 2020. Patient characteristics, surgical technique, type of surgical department, diagnostic management, and postoperative morbidity were analyzed. Results: Out of 40.499 patients following appendectomy, appendiceal carcinoids were found in 44 children, resulting in a prevalence of 0.11%. Mean age at appendectomy was 14.7 (±2.6) years. Laparoscopic approach was performed in 40 (91%) cases. Right-sided hemicolectomy was performed in 8 (18%) patients. Additional diagnostic work-up (CT and MRI) was recorded in 5 (11%) children. Conclusions: This large nationwide pediatric study shows that 1 in 1000 patients was found to have a neuroendocrine tumor of the appendix (prevalence 0.11%), emphasizing its low prevalence in the pediatric age group. The majority of patients were treated with appendectomy only. However, treatment modalities are still variable. Longer follow-up analyses are needed to evaluate published guidelines and recommendations to aim for a limited surgical approach. MDPI 2022-12-30 /pmc/articles/PMC9863284/ /pubmed/36676704 http://dx.doi.org/10.3390/medicina59010080 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Article Duess, Johannes Wolfgang Lange, Ansgar Zeidler, Jan Blaser, Jochen Dingemann, Carmen Ure, Benno M. Lacher, Martin Gosemann, Jan-Hendrik Hofmann, Alejandro Daniel Appendiceal Carcinoids in Children–Prevalence, Treatment and Outcome in a Large Nationwide Pediatric Cohort |
title | Appendiceal Carcinoids in Children–Prevalence, Treatment and Outcome in a Large Nationwide Pediatric Cohort |
title_full | Appendiceal Carcinoids in Children–Prevalence, Treatment and Outcome in a Large Nationwide Pediatric Cohort |
title_fullStr | Appendiceal Carcinoids in Children–Prevalence, Treatment and Outcome in a Large Nationwide Pediatric Cohort |
title_full_unstemmed | Appendiceal Carcinoids in Children–Prevalence, Treatment and Outcome in a Large Nationwide Pediatric Cohort |
title_short | Appendiceal Carcinoids in Children–Prevalence, Treatment and Outcome in a Large Nationwide Pediatric Cohort |
title_sort | appendiceal carcinoids in children–prevalence, treatment and outcome in a large nationwide pediatric cohort |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9863284/ https://www.ncbi.nlm.nih.gov/pubmed/36676704 http://dx.doi.org/10.3390/medicina59010080 |
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