阑尾粘液腺癌13例分析  

Analysis of 13 Cases of Appendiceal Mucinous Neoplasms

作　　者：王若天 

机构地区：[1]昆明市延安医院普外科,云南昆明650051

出　　处：《昆明医学院学报》2009年第12期129-130,133,共3页Journal of Kunming Medical College

摘　　要：目的探讨阑尾黏液腺癌的识别要点和处理方法.方法回顾分析2002年7月至2009年7月7a间收治的13例阑尾粘液腺癌患者的临床资料.结果13例患者中2例术前诊断为右下腹包块,9例误诊为阑尾炎,2例以腹膜炎收住院.术中11例经冰冻病理检查证实为黏液腺癌,行右半结肠切除,其余2例为术后病检证实,再次手术.随访10例,随访时间3～48个月,其中再次手术2例,术后3～5月发生腹腔广泛转移死亡,其余8例无复发转移.结论阑尾粘液腺癌术前诊断困难,发现依赖术中仔细探查,结合快速冰冻病理检查.对于术中明确诊断者行右半结肠切除,效果良好.Objective To investigate howto identify and deal with the appendiceal mucinous neoplasms.Methods We analyzed the clinical data of 13 cases with appendiceal mucinous neoplasms.Results 2 were diagnosed as mass in right lower abdomen before operation,9 were diagnosed as appendicitis,2 were diagnosed as peritonitis,all cases received right colectomy.And 10 of them were followed up for 3～48 months,2 of them died in 3 and 5 months after operation.Conclusions It is difficult to diagnose appendiceal mucinous neoplasms before operation,the recognition depends on carefully exploration in surgery,right colectomy should be undertaken once diagnosis is made.

关 键 词：阑尾黏液腺癌 右半结肠切除术 病理检查 粘液腺癌 右下腹疼痛 再次手术 复发转移 术前诊断 回顾分析 急性阑尾炎 

分 类 号：R656.8[医药卫生—外科学]