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The Role of Appendectomy for Mucinous Ovarian Neoplasms
Abstract
Objective
To
determine how frequently the appendix harbors pathology in women having
surgery for mucinous neoplasms of the ovary and assess the associated
morbidity.
Study Design
A
retrospective chart review of patients operated upon at our institution
with the diagnosis of a mucinous neoplasm of the ovary or appendix.
Results
A
total of 327 cases were identified. Of the 309 women with mucinous
ovarian neoplasms, 197 (64%) were benign, 68 (22%) LMP, and 44 (14%)
were invasive. Out of 155 appendectomies performed, only 1 metastatic
low grade mucinous appendiceal tumor was found, but this appendix was
grossly abnormal. There was no association between wound complications
and appendectomy.
Conclusion
When
a grossly normal appendix is removed during surgery for a mucinous
ovarian neoplasm without evidence of pseudomyxoma peritonei, no primary
or metastatic mucinous appendiceal tumors were found.
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