| Summary: | Neðst á síðunni er hægt að nálgast greinina í heild sinni með því að smella á hlekkinn Skoða/Opna(view/open) Seventy-eight histologically verified cases of appendiceal carcinoid tumors were diagnosed in Iceland in the 30-year period 1955-1984. These have been retrospectively analysed as demonstrated in Tables I-VI. Appendiceal carcinoids were 53% of all carcinoid tumors diagnosed in that period and 66% of gastrointestinal carcinoids. The annual crude incidence of appendiceal carcinoids was 1,2 per 100.000 inhabitants (females 1,9 and males 0,62). The age ranged from 4 to 72 years, average 29 years. Children under the age of 16 years were 18. The tumor was not diagnosed preoperatively in any patient. The indication for appendectomy was acute appendicitis in 51% of the patients. Average tumor size as measured in histological sections was 0,60 cm - 79% were located in the distal third of the appendix and in 28% of the cases the tumor had invaded the mesoappendix. One patient with a 0,9 cm primary tumor had metastases. In 74 patients a standard appendectomy was the only surgical procedure performed. On Dec 1st 1986 six of the 78 patients had died, but none of the carcinoid tumor. All other patients were alive without evident recurrent disease with an average follow-up time of 15 years. We conclude that standard appendectomy is adequate treatment for the vast majority of carcinoid tumors of the appendix and that complementary treatment or follow-up investigations are rarely indicated. Fjallað er um 78 krabbalíkisæxli (carcinoid tumors) í botnlanga sem greindust Íslandi á árunum 1955-1984. Þau voru 53% allra krabbalíkisæxla sem greindust á því tímabili, en 66% slíkra æxla í meltingarfærum. Árlegt nýgengi (crude incidence) krabbalíkis í botnlanga var 1,28 sjúklingar á 100.000 íbúa. Konur voru 76% sjúklinga. Aldursdreifing var 4-72 ár, meðalaldur 29 ár. Börn undir 16 ára voru 18. Æxlið greindist ekki í neinu tilfelli fyrir skurðaðgerð. Algengasta ábending botnlangatöku var grunur um bráða botnlangabólgu (51%). ...
|
|---|