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Table 1 Goblet cell carcinoid outcomes by different chemotherapy regimens

From: Goblet cell carcinoid of the appendix – diagnostic challenges and treatment updates: a case report and review of the literature

Study

Type of study

N

Stage

Histology

Treatment

CR

PFS

Overall survival

Garin et al. [23] 2002

Case report

1

IV

Adenocarcinoid

5-FU + LV (LV5FU2) × 1 cycle followed by FOLFOX 4 × 9 months

Yes (at 8 months)

3 years

Pham et al. [11] 2006

Retrospective review

57

I – 8

II – 20

III – 6

IV – 23

Goblet cell carcinoid

5-FU + LV-based chemotherapy (N = 27, Stage II–IV)

Cx versus No Cx

Stage II–III

Mean (months): 47 versus 32 months (p = 0.383)

5 year (%): 43 versus 56

Stage IV

Mean (months): 39 versus 29 (p = 0.281)

5 year (%): 26 versus 0

Toumpanakis et al. [24] 2007

Retrospective review

15

I–IV

Goblet cell appendiceal carcinoid

RH in all patients without metastasis.

Stage IV (3)

2- VP-16 + cisplatin

1–5-FU + cisplatin +streptozotocin.

11/15 no disease (median follow-up 30 months)

Median 30 months follow up:

− 11 alive with no disease

– 1 alive with metastatic disease

– 3 died of metastatic disease (9–14 months)

Tang et al. [13] 2008

Retrospective review

63

I – 2

II – 18

III – 3

IV – 40

Tang group

A – 30

B – 26

C – 7

Goblet cell carcinoid

FOLFOX

FOLFIRI

(33/63)

Stage III (2/3)

Group B (14/26)

Group A – 86%

Group B – 15%

Group C – 0%

DSS %

(Tang groups)

3 years

Group A – 100%

Group B – 85%

Group C – 17%

5 years

Group A – 100%

Group B – 36%

Group C – 0%

Bilen et al. [25] 2013

Case series

1

Metastatic

Poorly differentiated adenocarcinoma arising from goblet cell carcinoid

FOLFOX followed by CRS and HIPEC (mitomycin-C)

pCR

Disease free at 7 months

Clift et al. [22] 2018

Retrospective review

21

I – 1

II – 10

III – 5

IV – 5

Tang group

A – 8

B – 10

C – 3

Goblet cell carcinoid

Appendectomy: 12 (completion RH: 8)

RH: 6

Other resections: 3

6 received adjuvant cx with CAPOX – 5 dead of disease, 1 alive with no disease

DFS:

1-year: 94.7%

3-year: 74.2%

5-year: 74.2%

Mean OS (1-, 3-, and 5-year OS)

80.3 months (79.4%, 60%, and 60%)

Group A: 73.1 months (85.7%, 85.7%, 51.4%)

Group B: 83.7 months (all 66.7%)

Group C: 28.5 months (66.7%, 66.7%, not reached)

  1. 5-FU 5-fluorouracil, CAPOX capecitabine/oxaliplatin, CR complete response, CRS cytoreductive surgery, Cx chemotherapy, DFS disease-free survival, DSS disease specific survival, FOLFIRI 5-FU/LV/irinotecan, FOLFOX 5-Fu/LV/oxaliplatin, HIPEC hyperthermic intraperitoneal chemotherapy, LV leucovorin, OS overall survival, pCR pathologic complete response, PFS progression-free survival, RH right hemicolectomy, VP-16 etoposide