阑尾粘液性囊腺瘤误诊为卵巢癌6例分析  

Appendix mucinous cystadenoma misdiagnosed as ovarian mucinous: analysis of 6 cases

作　　者：肖梅[1] 徐萍萍[1] 陈赛英[1] 

机构地区：[1]解放军第81医院妇产科,江苏南京210002

出　　处：《淮海医药》2015年第4期327-328,共2页Journal of Huaihai Medicine

摘　　要：目的提高对阑尾粘液性囊腺瘤的认识,减少临床误诊。方法对6例阑尾粘液性囊腺瘤诊疗经过进行回顾性分析,结合文献分析误诊为卵巢癌的原因。结果本组6例患者均以腹痛、右下腹包块、腹水等症状入院,术前均诊断为卵巢肿瘤,术中探查发现阑尾异常扩张,快速病理切片示阑尾粘液性囊腺瘤,行回盲部切除,术后免疫组化证实。结论女性阑尾粘液性囊腺瘤患者,临床表现无特异性,易误诊为卵巢癌,及时手术探查及术中病理,是避免误诊的重要措施。Objective To explore the clinical characteristics of mucinous cystadenoma of the appendix and reduce misdi- agnosis rate. Methods 6 appendix mucinous cystadenoma cases which were misdiagnosed as ovarian mucinous, their clinical manifestation, auxiliary examination and treatment were retrospectively analyzed. Results The 6 patients were all admitted for vague pain in abdomen region, right lower-abdominal mass and ascites. All were diagnosed as ovarian cancer before surgery. During the operation, exceptional saccular ectasia were found in their appendix and the patients underwent ileocecal junction ectomy. Mucinous cystadenoma of the appendix was pathologically diagnosed afterwards. Conclusion Mucinous cystadenoma of the appendix is a rare disease. It has a high misdiagnosis rate because of no specificity. To avoid misdiagnosis, it is necessa- ry that operation research and pathology examination should be conducted in time.

关 键 词：阑尾肿瘤 卵巢癌 误诊 

分 类 号：R735.36[医药卫生—肿瘤]