Unexpected appendix tumour encountered at surgery

Unexpected appendix tumour encountered at surgery

An inspection of the abdominal cavity should be performed to establish the presence of metastases or PMP . The appendix should be removed, with care taken to avoid spillage of its contents, to allow a pathological diagnosis, which will deter - mine the need for subsequent intervention. In most cases the tumour can be removed by appendicectomy alone, with or without a cu ff of caecum. encountered at surgery The surgeon should perform a careful inspection of the abdominal cavity and record the extent and distribution of disease. A peritoneal or omental biopsy can be performed; however, care should be taken to minimise disruption of the anatomical planes. If the appendix is abnormal, an appendi cectomy should be performed to allow a histological diagnosis. Ideally the planned procedure should then be aborted with a view to referring the patient to a centre experienced in the management of peritoneal malignancy .