阑尾黏液性肿瘤的诊断和外科治疗  

Diagnosis and surgical treatment of appendiceal mucinous tumor

作　　者：付建 王波[1] 郭金帅[1] 姜晓峰[1] FU Jian;WANG Bo;GUO Jinshuai;JIANG Xiaofeng(First General Surgery,the Fourth Affiliated Hospital of China Medical University,Liaoning110000,China)

机构地区：[1]中国医科大学附属第四医院第一普外科,辽宁沈阳110000

出　　处：《中国肿瘤外科杂志》2018年第3期55-57,共3页Chinese Journal of Surgical Oncology

摘　　要：目的探讨阑尾黏液性肿瘤的诊断和外科治疗方式。方法对中国医科大学附属第四医院2007年1月至2017年12月经手术治疗的阑尾黏液性肿瘤24例患者临床资料进行回顾性分析。结果 24例患者临床表现主要为阑尾炎和腹部包块,均经手术治疗,经病理确诊为阑尾黏液性囊腺瘤2例,低级别阑尾黏液性肿瘤12例,阑尾黏液腺癌10例。行单纯阑尾切除术5例,行右半结肠切除术15例,行回盲部切除术4例。24例均进行随访,2例发生腹腔广泛转移分别死于术后第2年、第3年,3例死于其他疾病,1例患者在术后1年复发,行2次手术后至今未见复发,随访其他患者未见复发与转移。结论阑尾黏液性肿瘤临床罕见,缺乏特异性临床表现,术前诊断困难且误诊率高。阑尾黏液性肿瘤主要治疗方式为阑尾切除术、右半结肠切除术、回盲部切除术。ObjectiveTo explore the diagnosis and surgical treatment of the appendiceal mucinoustumor. MethodsThe clinical data of 24 patients with appendiceal mucinous tumor, whom treated in theFourth Affiliated Hospital of China Medical University from 2007 to 2017 were retrospectively analyzed. ResultsAppendicitis and abdominal mass were the major clinical manifestations of appendiceal mucinous tumor. All24 patients received surgical operation and confirmed by the histopathological diagnosis. There were 2 cases formucinous cystadenoma of the appendix, 12 cases for low-grade appendiceal mucinous tumor, 10 cases for ap-pendiceal mucinous cystadenocarcinoma. All of them were treated with surgical resection,including single ap-pendectomy in 5 cases, right hemicolectomy in 15 cases, resection of appendix and ileocecum in 4 cases. Twocases died in 2 and 3 years after operation, 3 cases with adenocarcinoma died of other diseases, and 1 case withadenocarcinoma was operated,bacause of tumor recurrence at one year after operation. No recurrence or metasta-sis has been found in the other patients after. ConclusionsAppendiceal mucinous tumor which lack specificclinical features are uncommon and difficult to be diagnosed. However, combined with domestic and foreign lit-eratures and clinical data, we found that CT has a high clinical value in the diagnosis of appendiceal mucinoustumors. Operation is the main treatment of appendiceal mucinous tumors, and operation choice is particularlyimportant. The main surgical methods were appendectomy, right hemicolectomy and resection of ileocecum.

关 键 词：阑尾 黏液性肿瘤 计算机层析成像 诊断 阑尾切除术 右半结肠切除术 

分 类 号：R735.36[医药卫生—肿瘤]