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临床上升结肠回盲部恶性肿瘤误诊阑尾炎并非少见,我院自1970年~1990年共收治误诊阑尾炎的升结肠回盲部恶性肿瘤19例,占同期收治的大肠恶性肿瘤的16.38%.本组病例男11例,女8例,年龄19岁~68岁,40岁以上14例.病变在盲肠部12例,升结肠6例,阑尾1例.病期3天~2年,平均10个月,以5月~7月最多.误诊急性阑尾炎2例,慢性阑尾炎3例,阑尾脓肿14例.病理腺癌7例,粘液腺癌7例,髓样癌2例,未分化癌1例,恶性淋巴瘤1例,恶纤组1例.本
Misdiagnosis of appendicitis is not uncommon in clinically ascending colonic ileocecal malignancies. Our hospital has treated 19 cases of ascending colonic ileocecal malignancy with misdiagnosis of appendicitis from 1970 to 1990, accounting for 16.38% of colorectal malignancies treated at the same time. There were 11 males and 8 females, aged 19 to 68 years and 14 and over 40. The lesions were in the cecum, 12 in the cecum, 6 in the ascending colon, and 1 in the appendix. The period was 3 days to 2 years, with an average of 10 months. From May to July, the most cases were misdiagnosed as acute appendicitis in 2 cases, chronic appendicitis in 3 cases, and appendiceal abscess in 14 cases. Pathological adenocarcinoma in 7 cases, mucinous adenocarcinoma in 7 cases, medullary carcinoma in 2 cases, undifferentiated carcinoma in 1 case, malignant lymph 1 case of tumor, 1 case of malignant fiber group.