{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,16]],"date-time":"2026-10-16T09:49:01Z","timestamp":1792144141346,"version":"4.4.0"},"reference-count":0,"publisher":"Armed Forces Medical Services","issue":"5","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Saudi Medical Journal"],"abstract":"<jats:p>Objectives: To evaluate appendectomy specimen findings and their association with tumor type and stage. Concurrent appendectomy is frequently performed during gynecologic oncology surgery to prevent postoperative appendicitis and detect occult pathology, yet its value remains debated. Methods: In this study, we reviewed the medical records of 300 women who underwent gynecologic oncologic surgery accompanied by appendectomy at Ba\u015fak\u015fehir \u00c7am and Sakura City Hospital (Istanbul, T\u00fcrkiye) over the period from July 2020 to April 2025. Clinical, surgical, andhistopathologic data were collected. Appendiceal pathologies were categorized as reactive hyperplasia, chronic inflammation, benign neoplasms, metastatic tumors, or primary. Statistical analyses included chi-square, t-test, and ANOVA. Results: Participants had an average age of 55.6 \u00b1 13.4 years, and 61.7% of them were postmenopausal. Among ovarian tumors, malignant epithelial lesions represented 54.7% of cases, while borderline tumors accounted for 17.7% and benign tumors for 17%. Histopathology revealed chronic inflammation in 40.7%, reactive changes in 34.3%, metastatic disease in 23.3%, benign neoplasms in 1.3%, and primary malignancy in 0.3%. Metastases occurred only in malignant ovarian tumors (35.7%), predominantly high-grade serous carcinomas (p &lt; 0.001). Borderline and benign tumors were mainly associated with reactive findings, and no metastatic involvement was detected. Conclusion: Concurrent appendectomy during gynecologic oncology surgery is safe and frequently reveals clinically relevant pathology. Appendectomy should be encouraged during cytoreduction, while its role in benign and early-stage cases warrants further investigation.<\/jats:p>","DOI":"10.15537\/1658-3175.8766","type":"journal-article","created":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T14:52:50Z","timestamp":1777560770000},"page":"826-832","source":"Crossref","is-referenced-by-count":0,"title":["Concurrent Appendectomy in Patients Undergoing Surgery for Gynecological Malignancies: &lt;i&gt;A Retrospective Analysis from a Tertiary Referral Center&lt;\/i&gt;"],"prefix":"10.15537","volume":"47","author":[{"given":"Gazi","family":"G\u00fcner","sequence":"first","affiliation":[{"name":"Department of Gynocologic Oncology Surgery, Basaksehir Cam and Sakura City Hospital, Istanbul, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Can","family":"Tercan","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Basaksehir Cam and Sakura City Hospital, Istanbul, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emrah","family":"Da\u011fdeviren","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Basaksehir Cam and Sakura City Hospital, Istanbul, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ali Sel\u00e7uk","family":"Yeniocak","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Basaksehir Cam and Sakura City Hospital, Istanbul, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ceylin","family":"Elbistanli","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Basaksehir Cam and Sakura City Hospital, Istanbul, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sure Nur","family":"Erdo\u011fmu\u015f","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Basaksehir Cam and Sakura City Hospital, Istanbul, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ay\u015fe","family":"Hazirbulan","sequence":"additional","affiliation":[{"name":"Department of Gynocologic Oncology Surgery, Basaksehir Cam and Sakura City Hospital, Istanbul, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yi\u011fit Mert","family":"Bayrak","sequence":"additional","affiliation":[{"name":"Department of Gynocologic Oncology Surgery, Basaksehir Cam and Sakura City Hospital, Istanbul, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ne\u00e7irvan \u00c7a\u011fda\u015f","family":"\u00c7altek","sequence":"additional","affiliation":[{"name":"Department of Gynocologic Oncology Surgery, Basaksehir Cam and Sakura City Hospital, Istanbul, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"G\u00f6zde","family":"\u015eahin","sequence":"additional","affiliation":[{"name":"Department of Gynocologic Oncology Surgery, Basaksehir Cam and Sakura City Hospital, Istanbul, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ergun","family":"Tercan","sequence":"additional","affiliation":[{"name":"Department of Pathology, Manisa Merkezefendi State Hospital, Manisa, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Figen Efe","family":"\u00c7amili","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Faculty of Medicine, Bal\u0131kesir University, Bal\u0131kesir, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nazl\u0131Aylin","family":"Vural","sequence":"additional","affiliation":[{"name":"Department of Gynecological Oncology Surgery, Yozgat City Hospital, Yozgat, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"H\u00fcseyin","family":"Karatay","sequence":"additional","affiliation":[{"name":"Department of Pathology, Ba\u015fak\u015fehir \u00c7am and Sakura City Hospital, Istanbul, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Saniye Merve G\u00fcl","family":"Kara","sequence":"additional","affiliation":[{"name":"Department of Gynecology and Obstterics, Antalya City Hospital, Antalya, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"\u0130lkbal Temel","family":"Y\u00fcksel","sequence":"additional","affiliation":[{"name":"Department of Gynocologic Oncology Surgery, Basaksehir Cam and Sakura City Hospital, Istanbul, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56029","published-online":{"date-parts":[[2026,4,28]]},"container-title":["Saudi Medical Journal"],"original-title":[],"language":"en","deposited":{"date-parts":[[2026,10,16]],"date-time":"2026-10-16T09:27:26Z","timestamp":1792142846000},"score":1,"resource":{"primary":{"URL":"https:\/\/smj.researchcommons.org\/journal\/vol47\/iss5\/8"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,4,28]]},"references-count":0,"journal-issue":{"issue":"5","published-online":{"date-parts":[[2026,4,28]]}},"URL":"https:\/\/doi.org\/10.15537\/1658-3175.8766","relation":{},"ISSN":["1658-3175"],"issn-type":[{"value":"1658-3175","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,4,28]]}}}