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目的总结腹膜假性黏液瘤的诊治经验。方法回顾性分析36例腹膜假性黏液瘤的诊治经验。结果临床表现主要为腹痛、腹胀、腹部包块和全身消瘦,B超和CT检查均提示腹部包块呈不均质囊性和/或不均质腹水。所有患者均经手术治疗,病理证实22例来自阑尾黏液腺癌,10例来自卵巢囊腺癌,3例来自黏液性胃癌,1例来自结肠黏液腺癌。手术包括切除原发病灶、网膜或其他脏器及尽可能清除黏液性病变组织。术后辅以化疗。全组无手术死亡。1、3、5年生存率分别为92.4%、63.6%、43.1%。结论腹膜假性黏液瘤术前诊断较为困难,根治性切除和化疗可取得较好的疗效。
Objective To summarize the diagnosis and treatment of peritoneal pseudomyxoma. Methods The diagnosis and treatment of 36 cases of pseudomyxoma peritonei were retrospectively analyzed. Results The main clinical manifestations of abdominal pain, abdominal distension, abdominal mass and body weight loss, B ultrasound and CT examination showed that the abdominal mass showed heterogeneous cystic and / or heterogeneous ascites. All patients were surgically treated. Pathological examination revealed 22 cases of mucinous adenocarcinoma of the appendix, 10 cases of ovarian cystadenocarcinoma, 3 cases of mucinous gastric carcinoma and 1 case of colonic mucinous adenocarcinoma. Surgery, including the removal of primary lesions, omentum or other organs and as far as possible to remove mucinous lesions. Postoperative adjuvant chemotherapy. The whole group died without surgery. The 1-, 3- and 5-year survival rates were 92.4%, 63.6% and 43.1% respectively. Conclusion Preoperative diagnosis of peritoneal pseudomyxoma is more difficult. Radical resection and chemotherapy can achieve better results.