Peritoneal seeding from appendiceal carcinoma: A case report and review of the literature

Table 1 Literature review of appendiceal signet-ring cell carcinoma

	No. of cases	Manifestations	Treatment	Survival
McCusker at al[1]	70	-	Hemicolectomy or more (72%) less than hemicolectomy (26%)	5-yr survival 20%
McGory at al[9]	113	-	-	5-yr survival 18%
Ko at al[10]	1	Abdominal distension	Appendectomy, bilateral salpingo-oophorectomy	Alive after 12 mo
No authors[11]	1	Adnexal mass	Appendectomy and bilateral salpingo-oophorectomy	-
Suzuki at al[12]	1	Intestinal obstruction	Hartmann’s operation, ileocecal resection, total hysterectomy, bilateral salpingo-oophorectomy	-
Niesel at al[13]	1	Scrotal metastasis	Ileocecal resection, omentectomy, right testis, right testicular cord and right hemiscrotum resection	-
Glehen at al[14]	36	-	Cytoreductive surgery plus perioperative intraperitoneal chemotherapy	3-yr survival -25%
Özakyol at al[15]	1	Crampy abdominal pain and weight loss	Total hysterectomy, bilateral salpingo-oophorectomy, appendectomy, pelvic and para aortic lymphadenectomy	-
Uharcek at al[16]	1	Lower abdominal mass	Total hysterectomy, bilateral salpingo-oophorectomy, appendectomy, omentectomy, pelvic and para aortic lymphadenectomy	Died after 18 mo

Table 2 Variables associated with increased chances of having a complete cytoreduction (modified from Esquivel et al[18])

First international symposium on regional cancer therapies rules
1	Eastern cooperative oncology group performance status two or less[9]
2	No evidence of extra-abdominal disease
3	Up to three small, resectable parenchymal hepatic metastases
4	No evidence of biliary obstruction
5	No evidence of ureteral obstruction
6	No evidence of intestinal obstruction at more than one site
7	Small bowel involvement: no evidence of gross disease in the mesentery with several segmental sites of partial obstruction
8	Small volume disease in the gastro-hepatic ligament