GI tract

Question 1

indications for right hemi for incidental appendiceal carcinoid

incidence of multifocal disease?

Answer 1

The operative treatment of appendiceal carcinoid tumors includes completion hemicolectomy for all tumors >2 cm and for tumors between 1 and 2 cm in the presence of:
Mesoappendiceal invasion
Positive or unclear margins
Higher grade
Angioinvasion
Mixed histology (goblet cell carcinoid, adenocarcinoid)

20%

Question 2

what is the confining layer of a LAMN by definition?

Is there any extension beyond?

Answer 2

MP

mucin

Question 3

What is goblet cell carcinoma of the appendix

Answer 3

adenocarcinoid, worse than carcinoid and better than adeno

Question 4

50% of appendiceal tumors are this type, which are mainly _____

Answer 4

carcinoid; benign

Question 5

specific scan for carcinoid

Answer 5

octreotide/PET Dotatate

Question 6

What defines T3 for append cancer

Answer 6

subserosal or mesoappend invasion

Question 7

4 characteristics needed for carcinoids
Which values are most concerning

Answer 7

diff, grade, mitotic rate, KI67

poor, high, >20, >20