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目的探讨原发性阑尾肿瘤的临床特点、诊治要点。方法回顾性分析南京大厂医院普外科1993-08-2007-08的14例收治原发性阑尾肿瘤的临床资料。结果阑尾良性肿瘤:黏液囊肿4例,阑尾黏液囊腺瘤2例,阑尾腺瘤1例。阑尾恶性肿瘤:类癌5例,阑尾腺癌2例。其中2例并腹膜假性黏液瘤。本组病例均行手术治疗,其中9例行右半结肠切除术,随访12例,1例腺癌者术后4年死于癌转移,余均无复发和转移。结论阑尾肿瘤临床少见,术前诊断困难,应提高认识。对术中可疑者应仔细探查和快速病理检查,对手术方式的选择有重要作用,以提高手术预后。
Objective To investigate the clinical features, diagnosis and treatment of primary appendicitis. Methods The clinical data of 14 patients with primary appendicitis treated with general surgery in Nanjing Dachang Hospital from 1993-08-2007-08 were retrospectively analyzed. Results of appendix benign tumor: mucinous cyst in 4 cases, appendix mucinous cystadenoma in 2 cases, 1 case of appendiceal adenoma. Appendectomy: carcinoid in 5 cases, 2 cases of adenocarcinoma of the appendix. 2 cases and peritoneal pseudomyxoma. In this group of patients underwent surgery, of which 9 patients underwent right hemicolectomy, followed up for 12 cases, 1 case of adenocarcinoma died of cancer metastasis 4 years after the operation, the remaining no recurrence and metastasis. Conclusions Appendectomy is rare and difficult to diagnose before operation. Awareness should be raised. The intraoperative suspicious persons should be carefully probed and rapid pathological examination, the choice of surgical methods have an important role to improve the prognosis of surgery.