The appendiceal tumour is usually found incidentally at laparotomy, or when dealing with acute appendicitis. If a confident diagnosis of carcinoid tumour is made, a search must be undertaken for secondary deposits in the small intestine and liver. The local lymph nodes must be examined. If the tumour is over 2 centimetres in diameter or there is nodal involvement, a right hemicolectomy is performed in addition to an appendicectomy.
If histology reveals an adenocarcinoma, appendicectomy is followed at a later date by right hemicolectomy.
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