Clinicopathological features and the outcome of surgical management for XXXX .

@entity1 @entity5 @entity1442 @entity954 @entity420
AIM: To present a comprehensive analysis of incidence, clinicopathological features, @entity954 , and survival for @entity420 . METHODS: A retrospective case analysis was conducted for the 10-year period 1998-2008. All @entity1 diagnosed with @entity420 were analyzed for their demographics details, clinical features, @entity5 incidence and characteristics, @entity5 stage, surgical procedures performed, and their survival. RESULTS: Nine thousand three hundred and twenty-three @entity1 underwent appendectomies during the study period, and of these, 10 (0.1%: 8 @entity1 and 2 @entity1 with a mean age of 53.1 years, age range 21-83 years) were found to have primary @entity420 . @entity5 was not suspected pre-operatively in any of the @entity1 . Six (60%) @entity1 underwent secondary right hemicolectomy. Four (40%) cases had appendectomy alone, and two of them died, whereas all those who underwent right hemicolectomy are alive and disease free. Five (50%) were reported to have grade 1 disease, three (30%) grade 2, and two (20%) grade 3 with mean survival of 34, 48, and 22 mo, respectively. Six (60%) @entity1 presented with @entity1442 (Duke's C and D). At the end of follow up (mean period: 37.9 mo), eight @entity1 are alive and disease free at the end of follow up. Overall mean survival was 36.3 mo (confidence interval; 16%-56%) with 41.3 and 16 mo for @entity1 and @entity1 , respectively. Mean survival for those with and without lymph node involvement was 33.6 and 40.2 mo, respectively. Right hemicolectomy gave better results than appendectomy alone, although the difference was not statistically significant due to the small number of cases. CONCLUSION: @entity420 is extremely rare @entity5 with varied presentations, and is usually advanced when diagnosed. Right hemicolectomy is the treatment of choice for such @entity5 .
