bill
Forum Newbie
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Q) A 43-year-old man presents with signs and symptoms of peritonitis in the right lower quadrant. The clinical impression and supportive data suggest acute appendicitis. At exploration, however, a tumor is found; frozen section suggests carcinoid features. For the tumor described below, choose the most appropriate surgical procedure.
A 2.5-cm tumor at the base of the appendix (SELECT 1 PROCEDURE)
A. Appendectomy
B. Segmental ileal resection
C. Cecectomy
D. Right hemicolectomy
E. Hepatic wedge resection and appropriate bowel resection
Kindly substantiate your answers.
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| Idiopathic
Forum Guru
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I say appendectomy...these are almost always localized(?)
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| jamilisr
Forum Newbie
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if the tumor is more than 2 cm,right hemicolectomy is indicated,
if there are no signs of serosal involvement and tumor is less than 2 cm,appendectomy should be performed.
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| mdwannabe
Forum Guru
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how do you know if this tumor is malignant?
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| asmi
Forum Hero
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since its 2.5 cm ,we should go for right hemicolectomy.
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| RoC
Forum Junior
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tumor greater than 2.0 cm should go to right hemicolectomy.
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| dmnz
Forum Junior
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Right hemicolectomy
dmnz :wink:
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