Delgado R R, Mullen J T, Ehrlich F E
South Med J. 1975 Aug;68(8):976-8. doi: 10.1097/00007611-197508000-00010.
A case of primary adenocarcinoma of the appendix in which the patient had the usual symptoms of acute appendicitis is presented. A review of the literature showed the potential for early extension and nodal metastasis in this lesion and led to the recommendation of right hemicolectomy as the treatment of choice. The operation should be done either primarily or secondarily after an appendectomy and should lead to a five-year survival of approximately 45%. Every effort should be made to make the diagnosis and provide definitive treatment at the primary operation by examining the appendix grossly and obtaining frozen section microscopic study of any suspicious tumor or ulceration.
本文报告一例原发性阑尾腺癌病例，该患者具有急性阑尾炎的常见症状。文献回顾显示，该病变有早期扩散和淋巴结转移的可能性，因此推荐右半结肠切除术作为首选治疗方法。该手术应在阑尾切除术后一期或二期进行，术后五年生存率约为45%。应尽一切努力在初次手术时通过大体检查阑尾并对任何可疑肿瘤或溃疡进行冰冻切片显微镜检查来做出诊断并提供确定性治疗。
