Mucinous cystadenocarcinoma surgery: Difference between revisions
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{{Mucinous cystadenocarcinoma}} | {{Mucinous cystadenocarcinoma}} | ||
{{CMG}}; {{AE}} {{Ammu}} | {{CMG}}; {{AE}}{{Qurrat}}, {{Ammu}} | ||
==Overview== | ==Overview== | ||
The most effective treatment for mucinous cystadenocarcinoma is surgical resection. | The most effective treatment for [[mucinous cystadenocarcinoma]] is [[Surgery|surgical]] [[resection]]. | ||
==Surgery== | ==Surgery== | ||
* The most effective treatment for mucinous cystadenocarcinoma is surgical resection.<ref> Ovary Epithelial tumors. Atlasgeneticsoncology (2016).http://atlasgeneticsoncology.org/Tumors/OvaryEpithTumID5230.html Accessed on February 29, 2016</ref> | * The most effective treatment for [[mucinous cystadenocarcinoma]] is surgical [[resection]].<ref>Ovary Epithelial tumors. Atlasgeneticsoncology (2016).http://atlasgeneticsoncology.org/Tumors/OvaryEpithTumID5230.html Accessed on February 29, 2016</ref> | ||
===Mucinous Cystadenocarcinoma of Pancreas=== | |||
* [[Pancreatectomy]] and [[pancreaticoduodenectomy]] for [[mucinous]] [[neoplasm]] of the [[pancreas]].<ref name="pmid10952400">{{cite journal |vauthors=Bassi C, Procacci C, Zamboni G, Scarpa A, Cavallini G, Pederzoli P |title=Intraductal papillary mucinous tumors of the pancreas. Verona University Pancreatic Team |journal=Int. J. Pancreatol. |volume=27 |issue=3 |pages=181–93 |date=June 2000 |pmid=10952400 |doi= |url=}}</ref><ref name="pmid9600293">{{cite journal |vauthors=Traverso LW, Peralta EA, Ryan JA, Kozarek RA |title=Intraductal neoplasms of the pancreas |journal=Am. J. Surg. |volume=175 |issue=5 |pages=426–32 |date=May 1998 |pmid=9600293 |doi= |url=}}</ref> | |||
* [[Surgical resection]] of the whole [[pancreas]] is suitable in multiple symptomatic [[lesions]]. | |||
===Mucinous Cystadenocarcinoma of Appendix=== | |||
* [[Surgical resection]] of [[Appendiceal cancers|appendiceal mucinous]] may be done for therapeutic purposes or to confirm the [[diagnosis]].<ref name="pmid12799327">{{cite journal |vauthors=Stocchi L, Wolff BG, Larson DR, Harrington JR |title=Surgical treatment of appendiceal mucocele |journal=Arch Surg |volume=138 |issue=6 |pages=585–9; discussion 589–90 |date=June 2003 |pmid=12799327 |doi=10.1001/archsurg.138.6.585 |url=}}</ref> | |||
* A standard [[appendectomy]] is done for most [[Appendiceal cancers|appendiceal mucinous lesions]].<ref name="pmid8297177">{{cite journal |vauthors=Nitecki SS, Wolff BG, Schlinkert R, Sarr MG |title=The natural history of surgically treated primary adenocarcinoma of the appendix |journal=Ann. Surg. |volume=219 |issue=1 |pages=51–7 |date=January 1994 |pmid=8297177 |pmc=1243090 |doi= |url=}}</ref> | |||
* Extensive [[dissection]] and [[resection]] may be done in the involvement of [[ileum]] and surrounding structure.<ref name="pmid1542852">{{cite journal |vauthors=Rutledge RH, Alexander JW |title=Primary appendiceal malignancies: rare but important |journal=Surgery |volume=111 |issue=3 |pages=244–50 |date=March 1992 |pmid=1542852 |doi= |url=}}</ref> | |||
* A partial [[Cecum|cecectomy]], [[Ileum|ileocecectomy]] or right [[colectomy]] may be performed depending on the need and involvement of these structures.<ref name="pmid12749241">{{cite journal |vauthors=Lo NS, Sarr MG |title=Mucinous cystadenocarcinoma of the appendix. The controversy persists: a review |journal=Hepatogastroenterology |volume=50 |issue=50 |pages=432–7 |date=2003 |pmid=12749241 |doi= |url=}}</ref> | |||
===Mucinous Cystadenocarcinoma of Ovary=== | |||
* In case of [[ovarian]] [[mucinous cystadenocarcinoma]] [[hysterectomy]] and [[Salpingo-oophorectomy|bilateral salpingo-oophorectomy]] are done. In order to remove the [[metastases]] in the opposite [[ovary]], [[adnexa]], or [[uterus]], or a coexistent primary [[endometrial cancer]]. | |||
* A novel technique "radical [[oophorectomy]]" is introduced in [[patients]] with locally advanced [[ovarian cancer]] extending to surrounding reproductive organs, [[pelvic]] [[peritoneum]] and [[sigmoid colon]]. <ref name="pmid14522325">{{cite journal |vauthors=Bristow RE, del Carmen MG, Kaufman HS, Montz FJ |title=Radical oophorectomy with primary stapled colorectal anastomosis for resection of locally advanced epithelial ovarian cancer |journal=J. Am. Coll. Surg. |volume=197 |issue=4 |pages=565–74 |date=October 2003 |pmid=14522325 |doi=10.1016/S1072-7515(03)00478-2 |url=}}</ref> | |||
* | |||
==References== | ==References== | ||
{{reflist|2}} | {{reflist|2}} | ||
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Qurrat-ul-ain Abid, M.D.[2], Ammu Susheela, M.D. [3]
Overview
The most effective treatment for mucinous cystadenocarcinoma is surgical resection.
Surgery
- The most effective treatment for mucinous cystadenocarcinoma is surgical resection.[1]
Mucinous Cystadenocarcinoma of Pancreas
- Pancreatectomy and pancreaticoduodenectomy for mucinous neoplasm of the pancreas.[2][3]
- Surgical resection of the whole pancreas is suitable in multiple symptomatic lesions.
Mucinous Cystadenocarcinoma of Appendix
- Surgical resection of appendiceal mucinous may be done for therapeutic purposes or to confirm the diagnosis.[4]
- A standard appendectomy is done for most appendiceal mucinous lesions.[5]
- Extensive dissection and resection may be done in the involvement of ileum and surrounding structure.[6]
- A partial cecectomy, ileocecectomy or right colectomy may be performed depending on the need and involvement of these structures.[7]
Mucinous Cystadenocarcinoma of Ovary
- In case of ovarian mucinous cystadenocarcinoma hysterectomy and bilateral salpingo-oophorectomy are done. In order to remove the metastases in the opposite ovary, adnexa, or uterus, or a coexistent primary endometrial cancer.
- A novel technique "radical oophorectomy" is introduced in patients with locally advanced ovarian cancer extending to surrounding reproductive organs, pelvic peritoneum and sigmoid colon. [8]
References
- ↑ Ovary Epithelial tumors. Atlasgeneticsoncology (2016).http://atlasgeneticsoncology.org/Tumors/OvaryEpithTumID5230.html Accessed on February 29, 2016
- ↑ Bassi C, Procacci C, Zamboni G, Scarpa A, Cavallini G, Pederzoli P (June 2000). "Intraductal papillary mucinous tumors of the pancreas. Verona University Pancreatic Team". Int. J. Pancreatol. 27 (3): 181–93. PMID 10952400.
- ↑ Traverso LW, Peralta EA, Ryan JA, Kozarek RA (May 1998). "Intraductal neoplasms of the pancreas". Am. J. Surg. 175 (5): 426–32. PMID 9600293.
- ↑ Stocchi L, Wolff BG, Larson DR, Harrington JR (June 2003). "Surgical treatment of appendiceal mucocele". Arch Surg. 138 (6): 585–9, discussion 589–90. doi:10.1001/archsurg.138.6.585. PMID 12799327.
- ↑ Nitecki SS, Wolff BG, Schlinkert R, Sarr MG (January 1994). "The natural history of surgically treated primary adenocarcinoma of the appendix". Ann. Surg. 219 (1): 51–7. PMC 1243090. PMID 8297177.
- ↑ Rutledge RH, Alexander JW (March 1992). "Primary appendiceal malignancies: rare but important". Surgery. 111 (3): 244–50. PMID 1542852.
- ↑ Lo NS, Sarr MG (2003). "Mucinous cystadenocarcinoma of the appendix. The controversy persists: a review". Hepatogastroenterology. 50 (50): 432–7. PMID 12749241.
- ↑ Bristow RE, del Carmen MG, Kaufman HS, Montz FJ (October 2003). "Radical oophorectomy with primary stapled colorectal anastomosis for resection of locally advanced epithelial ovarian cancer". J. Am. Coll. Surg. 197 (4): 565–74. doi:10.1016/S1072-7515(03)00478-2. PMID 14522325.