原发性阑尾肿瘤14例诊治体会  

Diagnosis and treatment experience of primary appendiceal tumor:a report of 14 cases

作　　者：王素 张洁 苏丽萍 赵美香 WANG Su;ZHANG Jie;SU Liping;ZHAO Meixiang(General Surgery Department,Qingdao Chengyang People's Hospital,Qingdao 266000;Rehabilitation Department,Navy Qingdao Special Service Convalescent Center,Qingdao 266000,China)

机构地区：[1]山东省青岛市城阳人民医院普外科,山东青岛266000 [2]海军青岛特勤疗养中心康复科,山东青岛266000

出　　处：《临床医学研究与实践》2020年第22期50-52,共3页Clinical Research and Practice

摘　　要：目的探讨原发性阑尾肿瘤的临床表现及诊治体会,提高该类疾病的诊治水平。方法回顾性分析青岛市城阳人民医院普外科2009年11月至2019年11月确诊为阑尾肿瘤的14例患者的临床资料,分析原发性阑尾肿瘤的临床表现及诊治过程。结果14例患者中,阑尾腺癌3例(21.43%),阑尾类癌4例(28.57%),阑尾黏液性肿瘤7例(50.00%)。14例患者均行手术治疗,其中2例行单纯性阑尾切除术,8例行右半结肠切除术,4例行回盲部扩大切除术。随访13例,1例患者术后失访。5例阑尾黏液性肿瘤与4例阑尾类癌无复发;1例阑尾腺癌患者术后13个月复发,行二次手术后未再发作;1例黏液性肿瘤患者术后发生远处转移,术后23个月去世;其余均长期生存。结论原发性阑尾肿瘤临床较为罕见,缺乏特征性临床表现、针对性术前检查,术前误诊率极高;主要依靠术后病理及术中冰冻病理确诊;手术切除为其主要的治疗方法,选择合适的手术方式是改善预后的关键因素。Objective To investigate the clinical manifestations,diagnosis and treatment experience of primary appendiceal tumor,and to improve the diagnosis and treatment level of this disease.Methods The clinical data of 14 patients with appendiceal tumors diagnosed in the general surgery department of Qingdao Chengyang people’s hospital from November 2009 to November 2019 were analyzed retrospectively.The clinical manifestations,diagnosis and treatment process of primary appendiceal tumor were analyzed.Results Among the 14 patients,there were 3 cases of appendiceal adenocarcinoma(21.43%),4 cases of appendiceal carcinoid(28.57%)and 7 cases of appendiceal mucinous tumor(50.00%).All 14 patients underwent surgical treatment,single appendectomy was performed in 2 cases,right hemicolectomy was performed in 8 cases,and ileocecal extended resection was performed in 4 cases.Thirteen cases were followed up and 1 case was lost.Five cases of appendiceal mucinous tumors and 4 cases of appendiceal carcinoid did not recur;1 case of appendiceal adenocarcinoma recurred at 13 months after operation,and did not recur after the second operation;1 case of mucinous tumor had distant metastasis after operation,and died at 23 months after operation;the rest cases were long-term survival.Conclusion Primary appendiceal tumor is relatively rare in clinic and lacking of characteristic clinical manifestations and targeted preoperative examination,with high preoperative misdiagnosis rate.Its diagnosis mainly depends on postoperative pathology and intraoperative frozen pathology.Surgical resection is the main treatment method for this disease,and the selection of appropriate surgical method is the key factor to improve the prognosis.

关 键 词：原发性阑尾肿瘤 阑尾切除术 右半结肠切除术 

分 类 号：R735.36[医药卫生—肿瘤]