Appendicular Pathologies in Ovarian Mucinous Adenocarcinoma and Borderline Tumor: A Retrospective Analysis

Abstract

Background: The role of appendectomy in the control of mucinous adenocarcinoma of the ovary has become a controversial issue, and its effectiveness in increasing the 5-year survival rate of patients is not well known. Mucinous carcinoma account for 3-4% of primary ovarian cancer. Nearly all mucinous carcinoma of the ovary presents with early-stage disease stage 1. Therefore, in this study, the aim was to examine simultaneous appendectomy in ovarian mucinous adenocarcinoma surgery and its reported pathologies.

Methods: This review is a retrospective study. The participants in this study included patients with mucinous ovarian mass with borderline mucinous pathology (n=101) or mucinous adenocarcinoma (n=69). These patients were selected from among the patients referred to Mahdia and Imam Hossein (AS) Hospitals who underwent surgery for mucinous adenocarcinoma of the ovary between 2017 and 2022.

Results: In terms of the pathology of the appendix, the results showed that the percentage of ACA was higher in the borderline mucinous group compared to the other group, however, there was no significant relationship between the two groups (p=0.60). In terms of the appearance of the appendix, the results showed that the nodular, thickened and normal state was more in the borderline mucinous group compared to the other group, which was statistically significant (p=0.04). In terms of disease stage, it was also found that there was no statistically significant relationship between the two groups (p=0.65).

Conclusion: It can be said that the appearance of the appendix can play an important role in distinguishing the two groups.