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lüll Postoperative surveillance of small appendiceal carcinoid tumors Murray SE; Lloyd RV; Sippel RS; Chen H; Oltmann SCAm J Surg 2014[Mar]; 207 (3): 342-5; discussion 345BACKGROUND: The necessity and frequency of postoperative surveillance for appendiceal carcinoid tumors =1 cm are undetermined. METHODS: A retrospective review was conducted of all patients with appendiceal carcinoid tumors =1 cm managed at an academic, tertiary referral center. Clinicopathologic characteristics, treatment, surveillance, recurrence, and survival were assessed and analyzed. RESULTS: Over a 16-year period, 31 patients met the inclusion criteria. Appendicitis (n = 17) and pelvic mass (n = 5) were the most common presentations. Median tumor diameter was 5 mm (range, 1-10 mm). Two patients had mesoappendiceal involvement. No patients had regional lymph node involvement or distant metastasis. Postoperatively, 14 patients (45%) received follow-up recommendations, including >/=1 of the following: imaging (n = 9), medical oncology referral (n = 7), colonoscopy (n = 5), and laboratory studies (n = 5). There were no recurrences or disease-specific deaths during a median follow-up period of 5 years (range, 0-15 years). CONCLUSIONS: Appendiceal carcinoids =1 cm are unlikely to recur. Therefore, postoperative surveillance may be unnecessary.|*Population Surveillance[MESH]|Adolescent[MESH]|Adult[MESH]|Aged[MESH]|Appendiceal Neoplasms/epidemiology/*surgery[MESH]|Carcinoid Tumor/epidemiology/*surgery[MESH]|Female[MESH]|Humans[MESH]|Male[MESH]|Middle Aged[MESH]|Neoplasm Recurrence, Local/epidemiology[MESH]|Postoperative Period[MESH]|Retrospective Studies[MESH]|Wisconsin[MESH]|Young Adult[MESH] |