Negative Margins in Surgery — 26yo Man | General Surgery | SMLE Q#11382

SMLE Question #11382

Surgery General Surgery

Objective: OBJ-TRACH-EMERG-01

Last updated: February 2026
A 26-year-old man has an open appendectomy for acute appendicitis. Pathology shows a well-differentiated appendiceal neuroendocrine tumor, 1.0 cm, located at the tip, completely excised with negative margins and no mesoappendiceal or lymphovascular invasion. There is no clinical or imaging evidence of metastatic disease. What is the most appropriate next step in management?

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