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原发性阑尾恶性肿瘤临床上十分少见,我院10年来共收治7例,均经手术和病理检查证实,约占同期阑尾切除标本3112例的0.22%。现就其诊治问题分析讨论如下。临床资料1.一般资料:本组男2例,女5例,年龄25~65岁,平均45岁,40岁以上4例。2.临床表现:5例表现为急性阑尾炎的症状和体征。1例表现为右下腹肿块,B超提示阑尾囊实性肿瘤,钡灌肠示末端回肠和盲肠之间的间隙增宽,阑尾未显影。另1例一年半前因急性阑尾炎外院行阑尾切除术,术后一年麦氏切口疤痕处出现肿块,逐渐增大,B超和钡灌肠均提示回盲部肿瘤。
The primary malignant tumor of appendix is very rare in clinical practice. In our hospital for a total of 7 years, 7 cases were treated and confirmed by surgery and pathological examination, accounting for approximately 0.22% of the 3112 cases of appendectomy specimens in the same period. The analysis of its diagnosis and treatment is discussed below. Clinical data 1. General information: This group of 2 males and 5 females, aged 25 to 65 years, an average of 45 years old, 40 years old and above 4 cases. 2. Clinical manifestations: 5 cases showed symptoms and signs of acute appendicitis. One case presented with a mass in the right lower abdomen. The B-mode ultrasound showed solid tumors in the appendix cyst. The barium enema showed a widening of the space between the distal ileum and the cecum and the appendix was not developed. In the other case, an appendicectomy was performed on an acute appendicitis outside the hospital one and a half years ago. A lump appeared at the site of Macbeth’s incision in one year and gradually increased. B-ultrasonography and barium enema were all suggestive of ileocecal tumors.