阑尾腺癌误诊一例分析  

Analysis of a Misdiagnosed Case of Adenocarcinoma of Appendix

作　　者：景霆[1] 苏群豪[2] 洪涛[2] 何志慧[2] 周海燕[2] 曾江正[2] 胡敏[2] 陶石[2] 黄芬[2] 雷俊华[2] 钟敏[2] 

机构地区：[1]贵阳中医学院,贵阳550002 [2]海南医学院肿瘤研究所血液肿瘤科,海口570102

出　　处：《临床误诊误治》2013年第2期7-9,共3页Clinical Misdiagnosis & Mistherapy

摘　　要：目的探讨阑尾腺癌的临床诊断和鉴别诊断要点。方法对1例阑尾腺癌的临床资料进行回顾性分析。结果本例因腹痛腹胀10 d入院,查右中腹可及包块,边界不清,有触痛,移动性浊音(+),拟诊为腹腔转移瘤?行剖腹探查术,术后病理诊断为阑尾腺癌,大网膜转移,术后行化疗,半年后死亡。结论阑尾癌临床少见,阑尾腺癌更少见,术前诊断较困难,确诊需要手术病理及免疫组织化学检查,临床应加强对本病的了解和认识,以利于早诊断、早治疗。Objective To explore the clinical diagnosis and features of differential diagnosis of adenocarcinoma of appendix. Methods Clinical data of a patient with adenocarcinoma of the appendix was retrospectively analyzed. Results The patient was admitted for abdominal pain and abdominal distension for 10 days, and right midabdomen mass was found by medical check-ups. According to the mass of obscure boundary, haphalgesia and shifting dullness （ ＋ ）, the diagnosis was peritoneal cavity metastatic tumor？ The postoperative pathological diagnosis was adenocarcinoma of appendix and greater omentum transfer with exploratory laparotomy. The patient was given postoperative chemotherapy and died 6 months later. Conclusion Appen-diceal cancer and adenocarcinoma of appendix are rare in clinical practice, so preoperative diagnosis is difficult. Final diagnosis depends on pathological and immunohistochemical examinations after surgery. In order to make diagnosis and give treatment as early as possible, clinicians should improve the knowledge and understanding of the disease.

关 键 词：阑尾腺癌 误诊 转移性肿瘤 

分 类 号：R735.36[医药卫生—肿瘤]