Diagnostic Challenges and Treatment Options for Mucocle of the Appendix: A Comprehensive Review

Cureus. 2024 Aug 4;16(8):e66142. doi: 10.7759/cureus.66142. eCollection 2024 Aug.

Abstract

Mucocles of the appendix, encompassing mucinous cystadenomas and mucinous cystadenocarcinomas, represent rare but clinically significant appendiceal lesions characterized by the accumulation of mucin within the appendix lumen. This review explores the diagnostic complexities and treatment strategies associated with mucocles, emphasizing the importance of its accurate recognition and management. Diagnostic challenges arise due to overlapping symptoms with acute appendicitis and other appendiceal pathologies, necessitating a multidimensional approach that includes imaging, histopathological analysis, and clinical correlation. Treatment options range from appendectomy for benign lesions to more extensive surgical procedures, such as right hemicolectomy for malignant forms. Prognostic factors, including histological subtype and tumor size, influence treatment decisions and long-term outcomes. By synthesizing current evidence and clinical insights, this review aims to provide a comprehensive framework for clinicians to navigate the complexities of mucocles of the appendix, offering perspectives that can guide effective management and future research endeavors.

Keywords: appendiceal mucocle; diagnostic challenges; mucinous cystadenocarcinoma; mucinous cystadenoma; prognostic factors; treatment strategies.

Publication types

  • Review