Is routine appendectomy justified in mucinous borderline ovarian cancer?
Authors:   Department of Obstetrics and Gynecology, “Carol Davila” University of Medicine and Pharmacy, Bucharest, Romania, Bacalbasa Nicolae ,   Department of Visceral Surgery, Center of Excellence in Translational Medicine, Fundeni Clinical Institute, Bucharest, Romania, Zamfir Radu ,   ”Dan Setlacec” Center of Gastrointestinal Disease and Liver Transplantation, Fundeni Clinical Institute, Bucharest, Romania, Balescu Irina ,   Department of Visceral Surgery, Ponderas Academic Hospital, Bucharest, Romania, Bohiltea Roxana Elena ,   Department of Obstetrics and Gynecology, “Carol Davila” University of Medicine and Pharmacy, Bucharest, Romania,   Department of Obstetrics and Gynecology, Filantropia Clinical Hospital, Bucharest, Romania, Petrea Sorin ,   Department of Surgery, “Dr.I. Cantacuzino” Clinical Hospital, Bucharest, Romania, Aldoescu Sorin ,   Department of Surgery, “Dr.I. Cantacuzino” Clinical Hospital, Bucharest, Romania, Vilcu Mihaela ,   Department of Surgery, “Dr.I. Cantacuzino” Clinical Hospital, Bucharest, Romania,   Department of Surgery, “Carol Davila” University of Medicine and Pharmacy, Bucharest, Romania, Brezean Iulian ,   Department of Surgery, “Dr.I. Cantacuzino” Clinical Hospital, Bucharest, Romania,   Department of Surgery, “Carol Davila” University of Medicine and Pharmacy, Bucharest, Romania, Pop Lucian ,   Department of Obstetrics and Gynecology, “Alessandrescu-Rusescu“ National Institute of Mother and Child Care, Bucharest, Romania, Ciulcu Alexandru ,   Department of Obstetrics and Gynecology, “Dr.I. Cantacuzino” Clinical Hospital, Bucharest, Romania, Romanescu Dragos ,   Department of Surgery, Sanador Clinical Hospital, Bucharest, Romania, Stoica Claudia ,   Department of Anatomy, “Carol Davila” University of Medicine and Pharmacy, Bucharest, Romania,   Department of Surgery, Ilfov County Emergency Hospital, Bucharest, Romania, Martac Cristina ,   Department of Anesthesiology, Fundeni Clinical Institute, Bucharest, Romania, Ursut Bogdan ,   Department of Surgery, “Carol Davila” University of Medicine and Pharmacy, Bucharest, Romania,   Department of Surgery, ”Agrippa Ionescu” Clinical Emergency Hospital, Bucharest, Romania, Filipescu Alexandru ,   Department of Obstetrics and Gynecology, “Carol Davila” University of Medicine and Pharmacy, Bucharest, Romania,   Department of Obstetrics and Gynecology, Elias Emergency Hospital, Bucharest, Romania, Tomescu Cezar Laurentiu ,   Department of Obstetrics and Gynecology, “Ovidius” University of Medicine and Pharmacy, Constanta, Romania,   Department of Obstetrics and Gynecology, “Sf. Andrei” Clinical Emergency Hospital, Constanta, Romania, Ad Aloul Adnan ,   Department of Surgery, Ramnicu Sarat County Hospital, Buzau, Romania,   Department of Surgery, “Titu Maiorescu“ University, Bucharest, Romania
Published: June 2022

Mucinous borderline ovarian tumors represent up to one half of cases diagnosed with borderline lesions and are usually associated with favourable outcomes. When it comes to the therapeutic options in these cases, the initial trend was to adopt the same strategy as in cases presenting invasive mucinous lesions. However, studies conducted so far cam to demonstrate that the appendix presented tumoral infiltration in an extremely low number of cases especially if a normal macroscopical aspect was present and therefore routine appendectomy was no longer recommended. The aim of the current paper is to investigate in which cases appendectomy should still be part of the therapeutic strategy in mucinous borderline ovarian tumors.