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Improving the AJCC/TNM staging for adenocarcinomas of the appendix: the prognostic impact of histological grade.

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TLDR
The strong prognostic impact of histological grade for mucinous adenocarcinomas is primarily restricted to stage IV disease, and data do not support the combination of these 2 histological grades in the recent AJCC Staging Manual 7th edition.
Abstract
Purpose Though histological grade is known to have a major prognostic impact in metastatic mucinous appendiceal adenocarcinomas; the prognostic impact of grade in localized disease, and the validity of the AJCC Cancer Staging Manual 7th edition decision to combine moderately and poorly differentiated mucinous adenocarcinomas into a single mucinous high-grade category, is not known.

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Journal ArticleDOI

Appendiceal Mucinous Neoplasms: Diagnosis and Management

TL;DR: This review summarizes all AMN classifications and proposes a treatment algorithm based on stage and histology of disease, a reference to guide gastroenterologists, pathologists, surgeons, and oncologists in the management of appendiceal mucinous neoplasms.
Journal ArticleDOI

Neoplasms of the Appendix: Pictorial Review with Clinical and Pathologic Correlation

TL;DR: Novel treatments such as hyperthermic intraperitoneal chemotherapy have increased survival for patients with mucinous tumors, and detailed description of organ, nodal, and peritoneal involvement informs surgical management with the goal of complete cytoreduction is provided.
Journal ArticleDOI

An Update on the Diagnosis, Grading, and Staging of Appendiceal Mucinous Neoplasms

TL;DR: An update on the various classification systems that have been recently proposed for appendiceal mucinous neoplasia, with a particular emphasis on how to handle and report the histologic findings for these tumors using the newly published Peritoneal Surface Oncology Group International (PSOGI) and American Joint Committee on Cancer (AJCC) eighth edition guidelines.
References
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Journal ArticleDOI

Regression models for relative survival.

TL;DR: The model can be estimated in any software package that estimates GLMs with user‐defined link functions and utilizes the theory of generalized linear models for assessing goodness‐of‐fit and studying regression diagnostics.
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Disseminated peritoneal adenomucinosis and peritoneal mucinous carcinomatosis. A clinicopathologic analysis of 109 cases with emphasis on distinguishing pathologic features, site of origin, prognosis, and relationship to "pseudomyxoma peritonei".

TL;DR: The term DPAM should be used to diagnose the histologically benign peritoneal lesions associated with ruptured appendiceal mucinous adenomas and those that are pathologically identical but lack a demonstrable appendicesal adenoma, which should be designated PMCA because they have recognizably different pathologic features and a significantly worse prognosis.
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Results of treatment of 385 patients with peritoneal surface spread of appendiceal malignancy.

TL;DR: Cytoreductive surgery and perioperative intraperitoneal chemotherapy can be used to salvage selected patients with peritoneal surface spread of appendiceal primary tumors.
Journal ArticleDOI

Primary malignant neoplasms of the appendix: a population-based study from the surveillance, epidemiology and end-results program, 1973-1998.

TL;DR: Cancer of the appendix is an uncommon disease that is rarely suspected rarely before surgery, and although several case series of these tumors have been published, little research has been anchored in population‐based data on cancer of the Appendix.
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