TY - JOUR T1 - Is Routine Appendectomy at the Time of Primary Surgery for Mucinous Ovarian Neoplasms Beneficial? JF - International Journal of Gynecologic Cancer JO - Int J Gynecol Cancer SP - 1205 LP - 1209 DO - 10.1097/IGC.0b013e31829b7dca VL - 23 IS - 7 AU - Tomer Feigenberg AU - Allan Covens AU - Zeina Ghorab AU - Nadia Ismiil AU - Valérie Dubé AU - Reda S. Saad AU - Mahmoud A. Khalifa AU - Sharon Nofech-Mozes Y1 - 2013/09/01 UR - http://ijgc.bmj.com/content/23/7/1205.abstract N2 - Objectives To evaluate the value of an appendectomy at the time of surgery for ovarian mucinous borderline tumors or carcinoma.Methods A retrospective single institute–based study was conducted. We identified patients who were operated on by a gynecologic oncologist for an abnormal pelvic mass, which was diagnosed as mucinous adenocarcinoma or mucinous borderline tumor between January 2000 and December 2010. Cases were included in the study if an appendectomy was performed at the time of initial surgery.Results Seventy-seven cases meeting the inclusion criteria were identified. The ovarian mass of 11 patients (14%) was diagnosed as metastatic appendiceal carcinoma involving the ovary. Evidence of metastatic disease, abnormal-looking appendix, or pseudomyxoma peritonei, were identified at the time of surgery for all of these cases. The condition of 30 patients (39%) and 36 patients (47%) were diagnosed as mucinous borderline ovarian tumor and invasive or microinvasive mucinous ovarian carcinoma, respectively. Evidence of metastasis from the ovary to the appendix was not identified in any of the cases.Conclusions Our data suggest that in cases of apparent early-stage mucinous ovarian borderline tumors and cancer, adding an appendectomy at the time of surgery is not warranted in the absence of a grossly abnormal appendix or evidence of metastatic disease. ER -