目的:探讨以阑尾炎为首发的盲肠癌诊治分析。方法:选择2008年3月—2011年5月来我院以阑尾炎为首发表现的盲肠癌患者12例,平均年龄56岁,5例因急性阑尾炎入院,3例因阑尾周围脓肿入院,4例因慢性阑尾炎入院。所有患者均表现为右下腹疼痛、压痛、伴有反跳痛,或全腹压痛,有腹部包块,伴有恶心、发热、四肢无力、纳差、消瘦、肠道功能紊乱,部分患者有贫血症状,白细胞计数(10.2—23.8)×109/L,中性粒细胞有不同程度升高,所有患者均接受手术治疗,7例患者在手术过程中,行右半结肠切除术。2例患者进行切除阑尾后,术后25d发生肠梗阻,剖腹探查确诊为盲肠癌,1例行回肠造口术,1例行右半结肠切除术。3例阑尾脓肿经治疗后腹痛减轻,但是包块缩小不明显,经结肠造影拟诊为结肠肿瘤,行右半结肠切除术。结果:本组12例患者,术后均顺利恢复,给予辅助化疗。结论:对有阑尾炎症状表现的患者在治疗时要全面检查,综合分析,降低盲肠癌的误诊率。 Objective: To investigate the diagnosis and treatment of cecal carcinoma with appendicitis as the first episode. Methods: From March 2008 to May 2011, 12 patients with appendicitis who presented with appendicitis in our hospital were selected. The average age was 56 years. Five patients were admitted to hospital due to acute appendicitis, three patients were admitted to hospital due to appendiceal abscess, and four patients Chronic appendicitis admitted to hospital. All patients showed right lower quadrant pain, tenderness, rebound tenderness, or total abdominal tenderness, abdominal mass, with nausea, fever, weakness, anorexia, weight loss, intestinal dysfunction, some patients with anemia Symptoms, white blood cell count (10.2-23.8) × 109 / L, neutrophils were increased to varying degrees, all patients underwent surgical treatment, 7 patients underwent surgery in the right hemicolectomy. Two patients underwent resection of the appendix, intestinal obstruction occurred 25 days after operation, laparotomy diagnosed as cecal cancer, one case of ileostomy and one case of right hemicolectomy. 3 cases of appendiceal abscess after treatment of abdominal pain reduced, but not significantly reduced mass, colonoscopy diagnosed by colon cancer, right colon resection. Results: All the 12 patients in this group recovered smoothly after operation and received adjuvant chemotherapy. Conclusion: Patients with symptoms of appendicitis should be comprehensively examined and analyzed comprehensively to reduce the misdiagnosis rate of cecal cancer.