腹腔假黏液腺瘤4例诊治体会  

Analysis of 4 cases of abdominal pseudomyxoma mucious adenoma

作　　者：张波[1] 王凯[1] 胡季洋[1] 

机构地区：[1]蚌埠医学院第一附属医院肿瘤康复部外三科,安徽蚌埠233004

出　　处：《蚌埠医学院学报》2010年第7期676-677,共2页Journal of Bengbu Medical College

摘　　要：目的:探讨腹腔假黏液腺瘤的病因和诊疗方法。方法:对4例假黏液腺瘤的资料进行分析。其中,2例肿瘤完整切除,另2例行减瘤术。结果:1例为阑尾手术后继发黏液腺瘤,3例为卵巢黏液腺瘤破裂继发腹腔假黏液腺瘤。2例因广泛地腹腔种植,手术后半年内死于肠梗阻和全身衰竭;2例术后配合腹腔化疗,目前生存良好。结论:腹腔假黏液腺瘤是一个继发性低度恶性肿瘤。肿瘤呈再分布现象,预防是关键,治疗采用以手术为主的综合治疗。Objective：To investigate the causes and diagnostic treatment of pseudomyxadenoma in peritoneal cavity.Methods：Four cases of pseudomyxadenoma in peritoneal cavity were analyzed retrospectively.Two cases underwent complete tumor resection,and the others underwent cytoreductive surgery.Results：One case was found with myxadenoma secondary to post-appendicectomy,the other three cases with pseudomyxadenoma peritonei secondary to the rupture of ovarian myxadenoma.Two cases died of bowel obstruction and the whole body failure in half a year after operation because of extensive implantation in peritoneal cavity.The other two cases survived well under the treatment of peritoneal chemotherapy.Conclusions：Peritoneal pseudomyxadenoma is a secondary malignant tumor with low degree.It presents in redistribution phenomenon.Prevention is a key point.The suitable treatment is to receive combined therapy,which operation is dominant.

关 键 词：腹腔假黏液瘤 诊断 治疗 

分 类 号：R735.5[医药卫生—肿瘤]