Appendix cancer natural history, complications and prognosis: Difference between revisions

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:'''Nonmucinus'''
:'''Nonmucinus'''
:*Localized 95%
:*Localized 95%
:*Distant metastasis 0%  
:*Distant metastasis 0%*
:'''Mucinous adenocarcinoma'''
:'''Mucinous adenocarcinoma'''
:*localized 80%  
:*localized 80%  
:*Distant metastasis 51%
:*Distant metastasis 51%*
 
|-
|''* Shows that mucinous adenocarcinoma are less aggressive'' ''than nunmnucinous tumors''
|}
|}


Line 67: Line 68:
** Presence of malignant cells outside of the visceral peritoneum of the appendix
** Presence of malignant cells outside of the visceral peritoneum of the appendix
* '''Poor prognostic factors in the presence of'''  '''''pseudomyxoma peritonei''''' are as follows:   
* '''Poor prognostic factors in the presence of'''  '''''pseudomyxoma peritonei''''' are as follows:   
** abdominal distension
** Abdominal distension
** weight loss
** Weight loss
** high histological grade
** High histological grade
** and morphological evidence of invasion of underlying structures  
** Morphological evidence of invasion of underlying structures  


==References==
==References==

Revision as of 20:17, 16 January 2019

Appendix cancer Microchapters

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Soroush Seifirad, M.D.[2]

Overview

If left untreated, [#]% of patients with [disease name] may progress to develop [manifestation 1], [manifestation 2], and [manifestation 3].

OR

Common complications of [disease name] include [complication 1], [complication 2], and [complication 3].

OR

Prognosis is generally excellent/good/poor, and the 1/5/10-year mortality/survival rate of patients with [disease name] is approximately [#]%.

Natural History, Complications, and Prognosis

Natural History

  • The symptoms of (disease name) usually develop in the first/ second/ third decade of life, and start with symptoms such as ___.
  • The symptoms of (disease name) typically develop ___ years after exposure to ___.
  • If left untreated, [#]% of patients with [disease name] may progress to develop [manifestation 1], [manifestation 2], and [manifestation 3].

Complications

  • Common complications of appendix cancer include:
    • Acute appendicitis
    • Pseudomyxoma pritonei
    • ?????????

Prognosis

  • Prognosis is generally excellent/good/poor, and the 1/5/10-year mortality/survival rate of patients with [disease name] is approximately [--]%.
  • Depending on the extent of the [tumor/disease progression] at the time of diagnosis, the prognosis may vary. However, the prognosis is generally regarded as poor/good/excellent.
  • The presence of [characteristic of disease] is associated with a particularly [good/poor] prognosis among patients with [disease/malignancy].
  • [Subtype of disease/malignancy] is associated with the most favorable prognosis.
  • The prognosis varies with the [characteristic] of tumor; [subtype of disease/malignancy] have the most favorable prognosis.
Five year survival rates
Carcinoid tumors
  • localized disease 94%
  • Regional disease 85%
  • Distant metastases 34%
  • Goblet cell 12.5%
  • Tubular tumors are benign clinically
Adenocarcinoma
Nonmucinus
  • Localized 95%
  • Distant metastasis 0%*
Mucinous adenocarcinoma
  • localized 80%
  • Distant metastasis 51%*
* Shows that mucinous adenocarcinoma are less aggressive than nunmnucinous tumors
  • Poor prognostic factors for appendiceal adenocarcinoma are as follows:
    • Advanced stage
    • High grade
    • Nonmucinous histology
    • Spread of the tumor beyond the left lower quadrant
    • Presence of malignant cells outside of the visceral peritoneum of the appendix
  • Poor prognostic factors in the presence of pseudomyxoma peritonei are as follows:
    • Abdominal distension
    • Weight loss
    • High histological grade
    • Morphological evidence of invasion of underlying structures

References

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