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目的探讨阑尾肿瘤的诊断与治疗问题。方法结合文献对我院2004年1月~2006年11月收治的16例阑尾肿瘤进行回顾性分析。结果本组病人均经手术治疗,其中阑尾类癌4例,粘液囊肿6例,粘液囊腺瘤3例,腺癌2例,粘液囊腺癌1例。术前确诊率为0,1例腺癌术后18个月死于复发及广泛转移;其余病例均随访至今,未发现复发或转移。结论阑尾肿瘤缺乏特异表现,误诊率极高。术中阑尾标本快速冰冻检查可提高术中确诊率,手术为主要的治疗方法,而术式选择是影响预后的关键因素。
Objective To investigate the diagnosis and treatment of appendiceal tumors. Methods A retrospective analysis of 16 cases of appendiceal tumors treated in our hospital from January 2004 to November 2006 was performed. Results The patients in this group were treated surgically. There were 4 cases of appendix carcinoid, 6 cases of mucinous cyst, 3 cases of mucinous cystadenoma, 2 cases of adenocarcinoma and 1 case of mucinous cystadenocarcinoma. Preoperative diagnosis rate of 0, 1 case of adenocarcinoma died of recurrence and extensive metastases 18 months after surgery; the remaining cases were followed up, no recurrence or metastasis was found. Conclusion The appendix tumor lacks specific performance and the rate of misdiagnosis is very high. Intraoperative appendectomial rapid frozen examination can improve intraoperative diagnosis, surgery as the main treatment, and surgical selection is the key factor affecting the prognosis.