ABSTRACT
Appendiceal tumors are rare and usually presented as acute appendicitis. They are incidentally discovered at an emergency surgery, in which case the decision-making is very difficult. The purpose of this report is discuss to the most appropriate management for appendiceal tumors. A retrospective analysis of one case treated at HU-UEL was undertaken and the literature was reviewed. The conclusion is that frozen section should be done whenever the appendiceal findings are atypical. For appendiceal carcinoids greater than 2 cm and adenocarcinomas, a right hemicolectomy is recommended. Appendectomy is apropriate for patients whose carcinoid tumors are 1 cm in diameter or less and for carcinoid tumors between 1 cm and 2 cm without extensive lymphatic permeation and mesenteric invasion. Every case should be searched for synchronous tumors.
ABSTRACT
Os tumores do apendice geralmente se apresentam com sintomas e sinais semelhantes aos da apendicite aguda, levando a cirurgia de urgencia e surpreendendo o cirurgiao durante ou apos o ato operatorio. Por tratar-se de doenca pouco frequente, duvidas surgem quanto ao tratamento correto. Esses fatos nos motivaram a estudar qual a conduta mais adequada frente aos tumores malignos do apendice, para isso, descrevemos dois casos atendidos no HU-UEL e revisamos a literatura. Concluimos que a biopsia de congelacao deve ser realizada...