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目的探索阑尾类癌的生物学特性、诊断和外科治疗经验。方法总结自1984～2004年收治的26例阑尾类癌患者的临床资料。结果本组患者中多数表现为急性阑尾炎的症状和体征。肿癌直径小于1cm16例,1～2cm9例,大于2cm1例,其中1例在首次手术中发现肝脏转移性肿瘤。20例仅行阑尾切除术,5例行右半结肠切除术,1例行右半结肠切除术及肝叶部分切除术。随访的26例患者中,25例无复发及远处转移。结论阑尾类癌较少而且多无症状,小于1cm的阑尾类癌仅作单纯性阑尾切除即可,术中冰冻切片可指导手术方式。
Objective To explore the biological characteristics of appendix carcinoid, diagnosis and surgical treatment experience. Methods The clinical data of 26 cases of appendix carcinoid patients who were admitted from 1984 to 2004 were summarized. Results Most of the patients showed symptoms and signs of acute appendicitis. Tumor diameter less than 1cm16 cases, 1 ~ 2cm9 cases, more than 2cm1 cases, of which 1 case found in the first operation of liver metastases. 20 cases only appendectomy, 5 cases of right hemicolectomy, 1 case of right hemicolectomy and partial hepatectomy. Of the 26 patients who were followed up, 25 had no recurrence or distant metastasis. Conclusions The appendix is less carcinoid and more asymptomatic. Appendectomy less than 1 cm is only for simple appendectomy. Intraoperative frozen sections can guide the operation.