Carcinoid Tumors of the Appendix Mesoappendiceal Extension and Nodal Metastases

Abstract

Carcinoid of the appendix occurred in 92 of 400,000 surgical pathology specimens covering 70 yr, and followed previously reported incidences by age, sex, symptoms, size, location and histology. Invasion of the mesoappendix occurred in 13 cases, and in 2 of these, a reoperative ileocolectomy demonstrated regional node metastases. No distant metastases or fatalities appeared. Tumor size correlated with mesoapendiceal invasion. Carcinoid invasion of the mesoappendix may provide a valuable marker for more distant tumor spread, and justify an aggressive surgical approach in selected patients.