Incidental finding of carcinoid tumor postappendectomy and a review from Gulf Cooperation Council countries

Scanty of research in Gulf Cooperation Council countries address the neuroendocrine tumors (NETs) with a gap in reported cases after appendectomy in Saudi Arabia compared to others. This study aimed to describe the experience of a single tertiary care private hospital in the management of incidentally discovered NETs after appendectomy and to review the series from nearby countries. A retrospective data review was done between January 2016 and January 2018 in the Surgery Department at Dr. Soliman Fakeeh Hospital (Jeddah, Saudi Arabia). Among 458 appendectomies, 3 appendiceal carcinoid tumors were identified (0.67%). All patients present with acute appendicitis. The carcinoid tumor was not diagnosed preoperatively. The mean diameter of the appendix was 10 mm, while the histopathology diameter of the discovered carcinoid was 5 mm. There were no postoperative complications. All patients were disease-free at follow-up. None of them received reoperation or adjuvant therapy.