Goblet cell carcinoid of the appendix
Authors:
O. Louthan
Authors‘ workplace:
Ambulance pro neuroendokrinní nádory IV. interní kliniky 1. lékařské fakulty UK a VFN Praha, přednosta prof. MU Dr. Aleš Žák, DrSc.
Published in:
Vnitř Lék 2009; 55(11): 1056-1059
Category:
Reviews
Overview
Appendiceal goblet cell carcinoids are mixed tumors including neuroendocrine cells and intestinal type of goblet cells. Compared to typical carcinoids, goblet cell carcinoids are malignant tumors with degree of malignity differing from case to case. Carcinoid syndrom is not present. There is poor prognosis in larger tumors. Appendectomy is a sufficient therapeutical approach in small tumors, hemicolectomy should be performed in larger ones. There is limited experience with chemotherapy in metastasizing tumors and sporadic with somatostatin analogues.
Key words:
appendectomy – goblet cell carcinoid – chemotherapy – somatostatin receptor scintigraphy – somatostatin analogues
Sources
1. Solcia E, Klöppel G, Sobin LH. Histological Typing of Endocrine Tumours. 2nd ed. WHO. International Histological Classification of Tumours. Berlin, New York: Springer 2000.
2. Burke A, Sobin L. The histogenesis of appendiceal carcinoid tumours. Histopathology 1992; 21: 600– 601.
3. Kanthan R, Saxena A, Kanthan SC. Goblet cell carcinoids of the appendix: immunophenotype and ultrastructural study. Arch Pathol Lab Med 2001; 125: 386– 390.
4. Tang L, Shia J, Wong WD. Pathological classification and clinical behavior of a spectrum of goblet cell carcinoid tumors of the appendix. Am J Surg Pathol 2008; 32: 1429– 1443.
5. Burke AP, Sobin LH, Federspiel BH et al. Goblet cell carcinoids and related tumors of vermiform appendix. Am J Clin Pathol 1990; 94: 27– 35.
6. Kabbani W, Houlihan PS, Luthra R et al. Mucinous and nonmucinous appendiceal adenocarcinomas: different clinicopathological features but similar genetic alterations. Mod Pathol 2002; 15: 599– 605.
7. Rindi G, Klöppel G, Couvelard A et al. TNM staging of midgut and hindgut (neuro)endocrine tumors: a consensus proposal including a grading system. Virchows Arch 2007; 451: 757– 762.
8. Modlin IM, Kidd M, Latich I et al. Current status of gastrointestinal carcinoids. Gastroenterology 2005; 128: 1717– 1751.
9. Chiti A, Fanti S, Savelli G et al. Comparison of somatostatin receptor imaging, computed tomography and ultrasound in the clinical management of neuroendocrine gastroenteropancreatic tumors. Eur J Nucl Med 1998; 25: 1396– 1403.
10. Caplin ME, Buscombe JR, Hilson AJ et al. Carcinoid tumour. Lancet 1998; 352: 799– 805.
11. Butler JA, Houshiar A, Lin F et al. Goblet cell carcinoid of the appendix. Am J Surg 1994; 168: 685– 687.
12. Safioleas MC, Moulakakis KG, Kontzoglou K et al. Carcinoid tumors of the appendix. Prognostic factors and evaluation for indications for right hemicolectomy. Hepatogastroenterology 2005; 52: 123– 127.
13. Varisco B, McAlvin B, Dias J et al. Adenocarcinoid of the appendix: is right hemicolectomy necessary? A meta‑analysis of retrospective chart reviews. Am Surg 2004; 70: 593– 599.
14. Bucher P, Gervaz P, Ris F et al. Surgical treatment of appendiceal adenocarcinoid (goblet cell carcinoid). World J Surg 2005; 29: 1436– 1439.
15. Goede AC, Caplin ME, Winslet MC. Carcinoid tumour of the appendix. Br J Surg 2003; 90: 1317– 1322.
16. Plöckinger U, Couvelard A, Falconi M et al. Consensus Guidelines for the Management of Patients with Digestive Neuroendocrine Tumours: Well‑differentiated Tumour/ Carcinoma of the Appendix and Goblet Cell Carcinoma. Neuroendocrinology, ENETS Consensus Guidelines for the Diagnosis and Treatment of Neuroendocrine Gastrointestinal Tumors. Part – 2 Midgut and Hindgut Tumors. Neuroendocrinology 2008; 87: 20– 30.
17. Tang LH, Klimstra DS. Carcinoid Tumors of the Appendix. In: Modlin IM, Öberg K(eds). A Century of Advance in Neuroendocrine Tumor Biology and Treatment. Hannover: Felsenstein CCP 2008: 112– 123.
18. Moertel CG, Weiland LH, Nagorney DM et al. Carcinoid tumor of the appendix: treatment and prognosis. N Engl J Med 1987; 317: 1699– 1701.
Labels
Diabetology Endocrinology Internal medicineArticle was published in
Internal Medicine
2009 Issue 11
Most read in this issue
- Neuroendocrine tumours of the appendix
- Recurrent unsustained ventricular tachycardia in pregnancy
- Endoscopic diagnostics and management of pancreatic- biliary disorders in patients after Billroth II gastric resection
- Repeated local thrombolysis in a patient with axillary and subclavian vein injury and thrombosis