阑尾杯状细胞类癌是新确立的阑尾类癌的一种亚型,由于其组织学图相与原发粘液性腺癌相似,故常易混淆。现将我科曾误诊为阑尾粘液性腺癌一例,报道如下。囊例报告奚××,女,74岁,住院号174888。因腹痛4天,诊断为急性阑尾炎而于1977年1月22日急诊入院手术。患者子1月18日起感上腹部疼痛,次日转移至右下腹呈持续性疼痛,伴恶心、发热和畏寒。体检:右下腹压痛,有肌紧张和反跳痛,罗氏征阳性,腰大肌试验阳性。体温38℃。白细胞总数13200/立方毫米,中性80％,淋巴20％。其他检查无异常。术中见腹腔渗液50毫升,脓性有臭味,阑尾远端穿孔,周围积脓,与肠襻,后腹膜粘连,盲肠升结 The appendicular goblet cell carcinoid is a newly established subtype of the appendix carcinoid, and because its histological appearance is similar to that of primary mucinous adenocarcinoma, it is often confusing. Our department has been misdiagnosed as a case of appendiceal mucinous adenocarcinoma. The report is as follows. Case report 奚××, female, 74 years old, hospital number 174888. Due to abdominal pain for 4 days, acute appendicitis was diagnosed. On January 22, 1977, an emergency admission operation was performed. From January 18 onwards, the patient experienced upper abdominal pain and transferred to the right lower quadrant on the following day for persistent pain with nausea, fever, and chills. Physical examination: right lower quadrant tenderness, muscular tension and rebound tenderness, positive Roche sign, positive psoas muscle test. Body temperature 38 °C. The total number of white blood cells is 13200/mm3, neutral 80%, lymph 20%. No other abnormalities were detected. See intraperitoneal effusion 50 ml during surgery, stinky odor, distal perforation of appendix, peripheral empyema, and intestinal fistula, posterior peritoneal adhesion, cecum litter