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Difference between revisions of "Mucinous tumours of the appendix"
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Mucinous tumours of the appendix (view source)
Revision as of 22:10, 8 June 2015
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*There are many classifications and they are controversial.<ref name=pmid21970481>{{Cite journal | last1 = Panarelli | first1 = NC. | last2 = Yantiss | first2 = RK. | title = Mucinous neoplasms of the appendix and peritoneum. | journal = Arch Pathol Lab Med | volume = 135 | issue = 10 | pages = 1261-8 | month = Oct | year = 2011 | doi = 10.5858/arpa.2011-0034-RA | PMID = 21970481 }}</ref> | *There are many classifications and they are controversial.<ref name=pmid21970481>{{Cite journal | last1 = Panarelli | first1 = NC. | last2 = Yantiss | first2 = RK. | title = Mucinous neoplasms of the appendix and peritoneum. | journal = Arch Pathol Lab Med | volume = 135 | issue = 10 | pages = 1261-8 | month = Oct | year = 2011 | doi = 10.5858/arpa.2011-0034-RA | PMID = 21970481 }}</ref> | ||
**The controversy centres on whether to call all mucinous tumours outside of the appendix ''adenocarcinoma'' - regardless of whether they have [[nuclear atypia|atypia]] & show invasion. | **The controversy centres on whether to call all mucinous tumours outside of the appendix ''adenocarcinoma'' - regardless of whether they have [[nuclear atypia|atypia]] & show invasion. | ||
*Many potential pathways for | *Many potential pathways for extra-appendiceal spread and peritoneal mucin deposition (pseudomyxoma peritonei) | ||
**A mucinous neoplasm ruptures the appendix due to expansion by excessive mucin | **A mucinous neoplasm ruptures the appendix due to expansion by excessive mucin | ||
***Could occur with either a benign or malignant | ***Could occur with either a benign or malignant neoplasm. | ||
**Malignant mucinous glands infiltrate through the appendiceal wall or enter the lymphatics and spread throughout the peritoneum. | **Malignant mucinous glands infiltrate through the appendiceal wall or enter the lymphatics and spread throughout the peritoneum. | ||
***Would require a malignant neoplasm. | ***Would require a malignant neoplasm. | ||