阑尾类癌10例诊治  

Carcinoid tumors of the appendix: report of 10 cases

作　　者：莫平[1] 刘武红[1] 崔明[1] 

机构地区：[1]成都军区昆明总医院普通外科,650032

出　　处：《消化外科》2005年第4期250-251,共2页Journal of Digestive Surgery

摘　　要：目的探讨阑尾类癌的生物学特性、诊断和外科治疗经验。方法回顾性总结自1980-2005年收治的10例阑尾类癌患者的临床和病理资料。结果本组10例患者的症状和体征提示为阑尾炎,均行阑尾切除术。肿瘤直径小于1cm有6例,1～2cm3例,大于2cm1例。肿瘤直径大于2cm1例且伴阑尾系膜淋巴结阳性者再次行右半结肠切除术。随访9例平均13年(2～20年),所有患者均无复发和远处转移。结论阑尾类癌少见且多无症状。小于1cm的阑尾类癌仅作单纯性阑尾切除术即可。肿瘤大于2cm的患者应行右半结肠切除术。Objective To summarize the diagnosis and treatment for patients with carcinoid tumors of the appendix. Methods Clinical data of 10 patients with appendix carcinoid tumors who were admitted and received surgery from 1980 to 2005 in our hospital were analyzed restrospectively. Results 10 patients presented with signs and symptoms of acute appendicitis. The tumors was less than 1 cm in diameter in 6 patirnts,between 1 and 2 cm in 3 patients, and larger than 2 cm in 1 patient. 10 patients underwent appendectomy. One patients with a tumor larger than 2 cm and positive lymph-nodes in the mesoappendix undeswent secondary right hemicolectomy. Complete follow-up was achieved in 9 patients, and all patients were free of tumor recurrence and metastasis. Conclusions Appendiceal carcinoids of less than 1 cm could be treated by appendectomy and right hemicolectomy is recommended for tumors larger than 2 cm.

关 键 词：阑尾肿瘤 类癌瘤 诊断 外科手术 

分 类 号：R735.36[医药卫生—肿瘤]