AI Article Synopsis
- Mucinous appendiceal neoplasms are rare but crucial to identify through imaging due to their risk of becoming cancerous and causing complications like pseudomyxoma peritonei.
- Accurate imaging is essential for the effective clinical and surgical management of these neoplasms, with right hemicolectomy and lymph node dissection as the recommended treatment when they're suspected.
- The text aims to provide a thorough visual guide using the 2010 WHO classification to illustrate various imaging characteristics of mucinous appendiceal neoplasms and their benign look-alikes.
Article Abstract
Mucinous appendiceal neoplasms are uncommon, but important to recognize with imaging due to malignant potential. Peritoneal seeding and pseudomyxoma peritonei can occur with both frankly malignant as well as low-grade appendiceal neoplasms. Prospective imaging identification of potential appendiceal neoplasm is paramount to clinical/surgical management. When a mucinous appendiceal neoplasm is suspected, a right hemicolectomy with lymph node dissection is the preferred surgical management. Unfortunately, accurate preoperative diagnosis can be challenging due to a wide range of clinical presentations and overlapping imaging appearances of appendiceal neoplasms with benign entities. Using the 2010 World Health Organization (WHO) pathologic classification as a framework, we provide a comprehensive multi-modality pictorial essay detailing the broad array of imaging findings of mucinous appendiceal neoplasms and common imaging mimics.
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| http://dx.doi.org/10.1007/s00261-018-1561-9 | DOI Listing |
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