原发性阑尾肿瘤(附434例分析)  

Primary Tumors of the Appendix.A Meta-analysis of 434 Cases

作　　者：黄世章[1] 黄书伟[2] 董瀚基[2] 

机构地区：[1]广州医学院第二附院病理科,广州市510260 [2]湛江医学院附院病理科

出　　处：《中国肿瘤临床》1993年第9期689-692,共4页Chinese Journal of Clinical Oncology

摘　　要：434例原发性阑尾肿瘤,良性202例,其中粘液囊肿183例,其它19例;恶性232例,其中类癌110例,腺癌107例,其它15例。腺癌与粘液囊肿>40岁74.5％及75％,男:女为1.7:1及1.5:1。类癌<40岁占80.5％,男:女为1:1.6。术前确诊仅3.6％、恶性肿瘤13.8％(32/232例)有转移。2.5％(11/434例)合并第二个原发瘤,9例恶性者6例在胃及大肠。64.4％腺癌位于阑尾根部,78.6％类癌见于阑尾尖端。对其诊断、治疗及预后进行了讨论。Four hundred and thirty four cases of primary appendiceal tumors (PAT) pooled from the Chinese lit- erature were analysed. Two hundred and two tumors were benign, including 183 mucoceles and 19 others. Two hundred and thirty two were malignant tumors, including 110 carcinoids, 107 adenocarcinomas and 15 others. 74. 5% of patients with carcinomas and 75% of patients with mucoceles were older than 40 years old. The ratio of male to female was 1. 7 to 1. 0 in carcinomas and 1. 5 to 1. 0 in mucoceles. 80. 5% of patients with carcinoid were younger than 40 years of age and it's ratio of male to female was 1. 0 to 1. 6. Only 3. 6% were diagnosed as PAT before operation. Thirty two of the 232 malignant tumors showed metastasis. Eleven of the 434 cases were accompanied with other primary tumors outside appendix, 9 of the 11 were malignant, and 6 were found in stomach or colon. 64. 4% of the adenocarcinomas was locat- ed in the proximal portion of the appendix and 78. 6% of carcinodis in the tip. The diagnsis, treatment and prognosis of the 434 cases of PAT were discussed.

关 键 词：原发性 阑尾肿瘤 病例分析 

分 类 号：R735.36[医药卫生—肿瘤]