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CC BY 4.0 · European J Pediatr Surg Rep. 2018; 06(01): e81-e82
DOI: 10.1055/s-0038-1672166
Case Report
Georg Thieme Verlag KG Stuttgart · New York

The Excised Appendix Tip—To Send or not to Send, That is the Question

Lucinda Tullie
1   Department of Paediatric Surgery and Urology, Southampton Children's Hospital, Southampton, United Kingdom of Great Britain and Northern Ireland
,
Bhumita Vadgama
2   Department of Histopathology, University Hospital Southampton NHS Foundation Trust, Southampton, United Kingdom of Great Britain and Northern Ireland
,
Ravindar Anbarasan
1   Department of Paediatric Surgery and Urology, Southampton Children's Hospital, Southampton, United Kingdom of Great Britain and Northern Ireland
,
Michael P. Stanton
1   Department of Paediatric Surgery and Urology, Southampton Children's Hospital, Southampton, United Kingdom of Great Britain and Northern Ireland
,
Henrik Steinbrecher
1   Department of Paediatric Surgery and Urology, Southampton Children's Hospital, Southampton, United Kingdom of Great Britain and Northern Ireland
› Author Affiliations
Further Information

Publication History

24 July 2018

14 August 2018

Publication Date:
18 October 2018 (online)

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Abstract

A 9-year-old boy, with previous anorectal malformation and neuropathic bladder and bowel, underwent ileocystoplasty, Monti–Mitrofanoff and appendix antegrade colonic enema procedure. The tip of the macroscopically normal appendix was sent for routine histopathology. Microscopy demonstrated a 5-mm well-differentiated neuroendocrine tumor extending into muscularis propria. Ki-67 index was <2%. Due to margin involvement, the appendix conduit and surrounding skin were re-excised and a tube cecostomy was created through a separate incision. Microscopy revealed no residual neuroendocrine tumor, and no further treatment was required.

Keywords

appendix - carcinoid - pediatric - antegrade continence enema
 

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