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目的:为及时发现盲肠癌,对盲肠癌误诊为阑尾周围脓肿的原因进行临床分析。方法:2009年12月～2011年11月,共收治96例急性阑尾炎住院手术患者,其中盲肠癌误诊为阑尾周围脓肿3例,约占急性阑尾炎总数的3.1%,2例行右半结肠切除,1例肿块已固定,活检为未分化癌,行姑息手术治疗。结果:术后病理示2例粘液腺癌,1例未分化癌,除姑息手术病人未愈自动出院外,右半结肠癌切除术者均痊愈出院。结论:盲肠癌早期症状隐匿,易与阑尾周围脓肿相混淆,临床医生应提高对盲肠癌的认识,增强鉴别诊断的能力。
OBJECTIVE: To analyze the causes of misdiagnosis of cecum cancer as abscess around the appendix in order to detect cecal cancer in time. Methods: From December 2009 to November 2011, a total of 96 patients with acute appendicitis were admitted to hospital. Among them, 3 cases of cecal cancer were misdiagnosed as appendectomy of appendectomy, accounting for 3.1% of the total number of acute appendicitis, 2 cases of right colon resection, One tumor had been fixed, the biopsy was undifferentiated carcinoma, and palliative surgery was performed. Results: Postoperative pathology showed two cases of mucinous adenocarcinoma and one case of undifferentiated carcinoma. All the patients except the palliative surgery were discharged automatically. The patients with right colon resection were cured and discharged. Conclusion: The early symptoms of occult cancer are hidden and easily confused with abscesses around the appendix. Clinicians should raise their awareness of cecal cancer and enhance the ability of differential diagnosis.