阑尾类癌6例临床分析  

A Clinical Analysis of 6 Cases with Appendiceal Carcinoid

作　　者：宗兵[1] 徐继增 艾则孜 吴荣钦 候保国 

机构地区：[1]复旦大学附属金山医院 [2]新疆温宿县人民医院,新疆温宿843100

出　　处：《肿瘤学杂志》2004年第6期428-429,共2页Journal of Chinese Oncology

摘　　要：[目的]探讨阑尾类癌的临床诊断和治疗。[方法]6例均以急性阑尾炎就诊。行单纯阑尾切除5例,其中2例术后1～3个月再次手术行右半结肠切除。[结果]术中冰冻病检诊断2例。肿瘤直径8～20mm,5例位于头部。2例再次手术行右半结肠切除者无肿瘤残留和远处转移。全组术后随访1.5～22年,无肿瘤复发。[结论]阑尾类癌术前诊断困难。肿瘤直径≤20mm阑尾类癌远处转移少见,无局部浸润和远处转移结合术中冰冻病检无肿瘤残留行单纯阑尾切除即可。To investigate the diagnosis and treatment for appendiceal carcinoid. Six cases with appendiceal carcinoid were diagnosed as appendicitis. Five cases had appendectomy. Two cases underwent right hemicolectomy 1～3 months after prior operations. Two cases were diagnosed by frozen section during surgery. The tumor had a diameter of 8～20mm, located at the tip of appendix in 5 cases. Two cases had right hemicolectomy 1～3 months after prior operations, with no residual tumor and metastasis. All patients were followed up from 1.5 to 22 years with no recurrence and mortality. [Conclusions] Appendiceal carcinoid is difficult to be diagnosed before operation. Metastases from appendiceal carcinoid ≤2cm in size are rare. Simple appendectomy may be safe if there were no local invasion, no metastasis and no residual tumor frozen section in operation.

关 键 词：阑尾肿瘤 类癌 诊断 治疗 

分 类 号：R735.36[医药卫生—肿瘤]